Supervising clinical staff involved in clinical operations at HCSC. Fostering growth and delivering effective customer service while implementing processes and initiatives.
Responsibilities
Supervise clinical staff involved in a variety of clinical operations.
Responsible for hiring, training, and performance reviews.
Implement processes, procedures, and initiatives and monitor results.
Ensure delivery of effective customer service and monitor department performance.
Collaborate across the organization in service delivery.
Requirements
Registered Nurse (RN), with current, unrestricted license to practice in state of operations.
2 years clinical experience with direct clinical care to the consumer.
2 years utilization review/ managed care experience.
Leadership skills.
Knowledge of managed care program policies and procedures.
Knowledge of managed care and insurance industry.
Verbal, written, and interpersonal communication skills.
PC proficiency to include Word, Excel, PowerPoint.
Analytical skills and sound clinical judgment.
Case Management Certification (URAC accredited certification) or obtain URAC accredited case management certification within three years of employment if overseeing case management operations.
Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
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