Clinical Network Manager

🕒 vor 11 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $75.000 - $85.000 / Jahr

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

👔 Manager

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Lucet

Lucet

501 - 1000 Mitarbeiter

🏥 Gesundheitswesen

⚕️ Krankenversicherung

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lucet ist ein technologiegestütztes Unternehmen im Bereich der Verhaltensgesundheit, das menschliche Betreuungsteams mit digitalen Werkzeugen kombiniert, um Einzelpersonen rechtzeitig mit psychischen Gesundheits- und Suchtbehandlungsmöglichkeiten innerhalb des Versorgungsnetzes zu verbinden. Es arbeitet mit Gesundheitsplänen, Arbeitgebern, Anbietern und Mitgliedern über Portale (Arbeitgeber/HR, Mitglied, Anbieter, Partner) und Dienstleistungen wie EAP, Versorgungsnavigation und Anbieterressourcen zusammen, um den Zugang, die Qualität und den wertorientierten Charakter der Verhaltensgesundheitspflege zu optimieren.

Beschreibung

• Drive provider performance improvement and value-based care initiatives • Analyze provider data and identify performance opportunities and outliers • Support transition to value-based contracting models • Develop targeted improvement plans for underperforming providers • Serve as a clinical and provider relations liaison • Partner with internal clinical, quality, and analytics teams and network providers • Enhance collaboration and improve clinical outcomes • Address provider needs and support communication across stakeholders • Lead provider education and network development efforts • Create and implement programs, training, and educational resources • Coordinate workshops and meetings • Promote best practices • Develop specialized services for diverse and high-risk member populations

🎯 Anforderungen

• Master’s Degree in behavioral health field • Current, unrestricted state license to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse • Minimum of two (2) years post-licensure clinical experience of clinical practice • Understanding and proficiency in health care management principles related to substance use and/or mental health • Knowledge of outcomes-based reimbursement strategies • Knowledge of behavioral health clinical protocols • Knowledge of contract negotiation • Knowledge of customer relationship management • Knowledge of substance use step-down levels of care within residential, inpatient and outpatient settings • Experience conducting financial analysis using claim data and Microsoft Excel spreadsheets • Proven track record of teamwork to achieve business-related goals improving quality and cost of care • Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook • Ability to travel up to 50% • Valid driver’s license and proof of insurance • Ability to pass background checks and screenings upon hire and throughout employment • High-speed internet service with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds

🏖️ Vorteile

• Annual performance-based, discretionary incentive • Medical, dental, and vision coverage • 401(k) with competitive employer match • Company-paid life and disability insurance • Paid parental leave and wellbeing incentives • Generous paid time off, including volunteer time • Flexible spending accounts for healthcare and dependent care • Professional development opportunities and tuition reimbursement • Remote work flexibility (role-dependent) • Company-provided equipment • Meaningful growth opportunities, personally and professionally

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