7 дней назад
Manager, Care Management (Behavioral Health)
102 900 - 190 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Manager, Care Management (Behavioral Health): Managing behavioral health care management teams and coordinating high-quality, cost-effective outcomes for Medicaid members with an accent on clinical oversight, regulatory compliance, complex case escalation, and utilization review. Focus on developing care programs, resolving member and provider concerns, guiding clinicians, and improving behavioral health service delivery.
Location: Remote, but candidates must reside in Ohio
Salary: $102,900–$190,500 per year
Company
provides healthcare services and supports access to care for individuals, families, and communities.
What you will do
- Manage the behavioral health care management team supporting the Buckeye Medicaid plan.
- Direct daily staff activities, review caseloads, and provide guidance on complex mental and behavioral health cases.
- Oversee care management documentation, policies, procedures, programs, and regulatory compliance.
- Manage escalated member and provider concerns, complaints, audits, and care program evaluations.
- Set team goals, provide performance feedback, and share updates with senior care management leadership.
- Support onboarding, hiring, training, member outreach, and communication initiatives.
Requirements
- Must reside in Ohio and hold an active clinical license in the state.
- Master’s degree or graduation from an accredited school of nursing.
- 5+ years of related experience.
- Licensed clinical behavioral health professional or RN with behavioral health experience required, such as LCSW, LMSW, LMFT, LMHC, or RN.
- Experience in behavioral health, managed care, case management, community mental health centers, or utilization review.
- Leadership, communication, and presentation skills.
Culture & Benefits
- Remote work arrangement with a flexible approach to remote, hybrid, field, or office schedules.
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Work focused on improving healthcare access and outcomes for members and communities.
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