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Manager of Clinical Services

Company: Beacon Health Options
Location: Rochester
Posted on: February 15, 2019

Job Description:

Location
NY: Rochester
Job Family
Clinical, Licensed

Job Brief

We are currently seeking a dynamic Manager of Clinical Services to join our team at our office in Rochester, NY (Western NY).

ABOUT THE POSITION
We are currently seeking a dynamic Manager of Clinical Services to join our team at our office in Rochester, NY (Western NY). The Manager of Clinical Services works to ensure that care management processes comply with Beacon Health Options' policy guidelines, external regulatory requirements and URAC accreditation standards. The MCS concentrates on workflow development and enhancement, consistency and accuracy of care management processes, team productivity and process improvement. The MCS maintains a positive interaction with internal and external customers, supporting the overall goals of Beacon and the Clinical Department. An emphasis is placed on integrated case management activities that endeavor to integrate Behavioral Health and physical health services into a unified Person Centered care plan.

Position Responsibilities:
In collaboration with local office care management staff, identify opportunities to streamline workflows that results in accurate, high quality production standards.

Assist local office managers in identifying training opportunities and other resources to local case managers to ensure consistent and efficient programming

Oversee quarterly case management audit process and reporting Oversee physician advisor case management weekly rounds process

Participate in the annual evaluations of Disease Management and Care Management programs and the development of care management reporting

Work with Clinical Director - Care Management and the Implementation Team to support development and implementation of care management programs for extremal customers

Attend and participate in Clinical, QIC meetings as designated and Leader for CQI teams as assigned

Work closely with Clinical Director- Care Management and Director of Quality Management and Improvement on URAC and NCQA initiatives

Collaborate with Health Plan medical management staff on integrated case rounding and care coordination activities

Participate in monthly vendor oversight meetings with Health Plan staff

Respond to all clinical audit requests from the State, Health Plan, or other regulatory agencies Other duties as assigned

Position Requirements:
Education : Master's degree in a mental health related discipline or RN (BSN) with psych experience is required.

Licensure : Valid license in NYS commensurate with field of study, R.N., LCSW, LMSW, MHC, MFT, or PhD. May be required to obtain additional state licensures dependent on client contractual requirements.

Relevant Work Experience:
Minimum of three (3) years of combined direct behavioral health clinical and managed care experience.

Minimum of 5 years of clinical experience required and minimum of 3 years' experience in a case management leadership role.

Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.

Experience with EAP organizational services and management experience in an organization serving publicly funded clients preferred

TO APPLY

Click below on "Apply for this Position" to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

#CB
PM16
#GD
#LI-BH1

AAP Reporting Location:

NY - Latham

ID (Req #):

56708

FTE Status:

Full Time

Schedule:

Mon - Fri 830-5pm

Exempt

Keywords: Beacon Health Options, Rochester , Manager of Clinical Services, Executive , Rochester, New York

Click here to apply!

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