Associate Manager, Clinical Health Services

Job not on LinkedIn

🔥 4 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $88.4k - $190.3k / year

⏰ Full Time

🟡 Mid-level

👔 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 implementation of healthcare management services for the assigned functional area • Maintain policies and procedures in accordance with regulatory and accreditation standards, including NCQA and URAC • Implement and monitor best-practice approaches and innovations across the continuum of care • Liaise with key business areas • Manage resources responsible for member identification, care-plan development and implementation, medical appropriateness, quality of care, and care monitoring and documentation • Potentially manage an individual case load • Serve as a point of contact for customers and Account Teams, including customer meetings and implementation of customer cultural requirements • Support implementation of new customers • Assess developmental needs and implement action plans supporting high-performing teams • Promote teamwork, cross-product integration, and continuum-of-care thinking • Lead change efforts as a model change agent • Collaborate with licensed staff overseeing clinical staff and licensed personnel activities • Mentor the team on practice standards, intervention quality, problem resolution, and critical thinking

🎯 Requirements

• Active and unrestricted LCPC, LCSW, or RN in the state of Illinois • 3 or more years of experience in a physical or behavioral healthcare setting • 1 or more years of management experience • 3 or more years of experience in managed care • Knowledge of regulations, standards, and policies related to medical management • Bachelor’s degree in health or human services or a related field required • Preferred: Certified Case Manager (CCM) • Preferred: Bilingual in English and Spanish

🏖️ Benefits

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