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CLINICAL CARE MANAGER TEAM LEAD

Company: Beacon Health Options
Location: Cypress
Posted on: May 27, 2018

Job Description:

Job ID 54514Category: Clinical, LicensedLocation: Cypress, CAPosted: 5/18/2018Job DescriptionABOUT THE POSITION

We are currently seeking a dynamic Care Manager Team Lead of Drug Medi-Cal (DMC) to join our team at our Cypress Service Center Office. The Clinical Lead provides comprehensive management of the clinical and member services teams. S/he facilitates compliance with quality standards, cost-effective outcomes, and operational efficiencies for the Administrative Service Organization (ASO) program.

Position Responsibilities:

  • Leads the clinical and member services teams by directing the activities of team members and draws upon accreditation standards, medical necessity criteria, and clinical expertise to manage all aspects of the ASO.
  • Serves as the primary liaison between the ASO and the County in discussions specific to level of care determinations, medical necessity evaluations, and second opinions.
  • Establishes goals and objectives for the ASO clinical and member services teams and individual team members' roles and responsibilities.
  • Troubleshoots issues and submits recommendations to the ASO Clinical Manager and Program Director.
  • Assists with the design, development, and modification of workflows for the ASO clinical and member services teams in collaboration with the County.
  • Works with providers to ensure available resources are being used in a timely and cost effective manner.
  • Other duties as assigned
    Position Requirements:

    Education: Master's degree or higher in a health related field and licensure as a behavioral health professional

    Licensure: Licensed behavioral health clinician/nurse (LCSW, LMFT, LPCC, RN, Ph.D. or PsyD.) who has Certification as a Care Manager is preferred.

    Relevant Work Experience: A minimum of 5 years of combined behavioral health clinical and managed care experience.

    Knowledge, Skills & Abilities:
    • Excellent customer service skills
    • Experience in supervising other
    • Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes.
    • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up.
    • Educated in current principles and procedures of behavior health care. Knowledge of managed care and state specific expertise preferred.
    • Strong interpersonal skills and good written and verbal communication skills.
    • Advanced computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint
    • Bilingual 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 PI102516343

      Keywords: Beacon Health Options, Santa Clarita, CLINICAL CARE MANAGER TEAM LEAD, Executive, Cypress, California

      Click here to apply!

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