Associate Manager, Clinical Health Services – RN, LCSW, LCPC

Job Description:

• Oversee the 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
• Act as a liaison with key business areas
• Manage resources responsible for member identification, care-plan development, medical appropriateness, quality of care, and care monitoring and documentation
• Handle an assigned caseload when required
• Serve as a point of contact for customers and Account Teams, including customer meetings and new-customer implementation
• Assess developmental needs and implement action plans supporting high-performing teams
• Promote teamwork, cross-product integration, and continuum-of-care thinking
• Lead change efforts and serve as a 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:

• Candidates must possess active and unrestricted LCPC OR 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 management experience
• 3 or more years of experience in managed care
• Knowledge of the regulations, standards, and policies which relate to medical management
• Bachelor’s degree in health or human services or a related field required
• Certified Case Manager (CCM) preferred
• Bilingual - English and Spanish preferred
• Master’s degree in a relevant field preferred

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