Regional Clinical Manager – RN or BH

Job not on LinkedIn

🔥 22 hours ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

💵 $78.3k - $168.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Oversee a regional care management team of remote and field-based staff • Drive high performance, accountability, and operational excellence • Achieve health plan goals and contractual deliverables • Lead person-centered care management services for Kentucky SKY members, including youth involved in foster care and juvenile justice, children receiving adoption assistance, and members with complex behavioral health needs • Collaborate with providers, community partners, and interdisciplinary care teams to ensure members and families receive appropriate care and support • Oversee quality and compliance activities • Monitor key performance metrics • Communicate team performance and improvement opportunities to leadership • Conduct supervisory visits and meetings with state partners through regional travel

🎯 Requirements

• Active, unrestricted Kentucky clinical license in the applicable discipline (e.g., RN, LPCC, LCSW) • 5–7 years’ experience in clinical area of expertise • 2+ years’ experience managing direct reports • Strong performance management experience, including coaching, developing, and holding team members accountable to quality, productivity, and outcome expectations • Demonstrated experience and/or comprehensive knowledge of the Foster Care and Juvenile Justice systems, Adoption Assistance, Behavioral Health services, Trauma-Informed Care principles, Adverse Childhood Experiences (ACEs), Crisis Intervention Services, and evidence-based practices relevant to serving Kentucky SKY members and their families • Experience using data and performance metrics to drive operational improvements, achieve contractual deliverables, and improve member outcomes • Experience building collaborative relationships with providers, state agencies, community organizations, and interdisciplinary care teams • If Behavioral Health: Master's degree in a field leading to independent Behavioral Health licensure • If Registered Nurse: Master's degree or equivalent experience; MSN preferred • For the RN education alternative: associate’s degree plus 4 additional years of experience, or bachelor’s degree plus 2 additional years of experience • Preferred: demonstrated change management experience • Preferred: advanced problem-solving and critical-thinking skills • Preferred: advanced collaboration and relationship-building skills

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting colleagues’ and families’ physical, emotional, and financial well-being

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