Supervisor, Clinical
Company Name:
Centene
## Description
More than healthcare, More than a job, More than a workplace. Want More?
Cenpatico is dedicated to _Improving Lives_ and that starts with hiring top talent like YOU !
Cenpatico is a place where creativity and new ways of thinking and ideas thrive. We make a difference through our people. Our staff have innovative ideas, a passion for serving our members, and develop strong community partnerships.
We are looking for dynamic and talented individuals to join the organization who want to make a difference in the lives of others. We want to hear from you. Tell us how your passion and experiences can help us improve lives each day.
Cenpatico offers exciting and rewarding careers with excellent benefits and a very competitive compensation package.
Position Purpose
Supervise and facilitate the daily operations of the case management and utilization management functions
Oversee the workflow and day-to-day operations of high risk case management and utilization management functions, including implementation of policies and procedures
Ensure compliance with established initial and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes
Act as a liaison with other business units and facilitate on-going communications between case management and utilization management staff, community agencies and contracted providers
Provide oversight of telephonic review of inpatient admissions with doctors, hospitals, and other providers
Monitor the effectiveness for existing outreach efforts and ensure appropriate knowledge/education and interventions are conducted for members defined to be at risk
Analyze data to address trends or potential quality improvement opportunities including provider issues, service gaps and member needs
## Qualifications
Education/Experience
RN license or Master's degree in Behavioral Health or related field. 3
years of case and/or utilization management experience. Experience in a psychiatric health care setting, including familiarity with mental health community resources. Working knowledge of a specialized or technical field, such as clinical nursing, case and/or utilization management. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.
License/Certification
Current state's unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN.
#LI-NP1
## Job
Job: Clinical & Nursing
Primary Location: USA-Ohio-Cincinnati
Other Locations: USA-Ohio-Akron, USA-Ohio-Toledo
Organization: Cenpatico National
Schedule: Full-time
Req ID: 1005605Estimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
More than healthcare, More than a job, More than a workplace. Want More?
Cenpatico is dedicated to _Improving Lives_ and that starts with hiring top talent like YOU !
Cenpatico is a place where creativity and new ways of thinking and ideas thrive. We make a difference through our people. Our staff have innovative ideas, a passion for serving our members, and develop strong community partnerships.
We are looking for dynamic and talented individuals to join the organization who want to make a difference in the lives of others. We want to hear from you. Tell us how your passion and experiences can help us improve lives each day.
Cenpatico offers exciting and rewarding careers with excellent benefits and a very competitive compensation package.
Position Purpose
Supervise and facilitate the daily operations of the case management and utilization management functions
Oversee the workflow and day-to-day operations of high risk case management and utilization management functions, including implementation of policies and procedures
Ensure compliance with established initial and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes
Act as a liaison with other business units and facilitate on-going communications between case management and utilization management staff, community agencies and contracted providers
Provide oversight of telephonic review of inpatient admissions with doctors, hospitals, and other providers
Monitor the effectiveness for existing outreach efforts and ensure appropriate knowledge/education and interventions are conducted for members defined to be at risk
Analyze data to address trends or potential quality improvement opportunities including provider issues, service gaps and member needs
## Qualifications
Education/Experience
RN license or Master's degree in Behavioral Health or related field. 3
years of case and/or utilization management experience. Experience in a psychiatric health care setting, including familiarity with mental health community resources. Working knowledge of a specialized or technical field, such as clinical nursing, case and/or utilization management. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.
License/Certification
Current state's unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN.
#LI-NP1
## Job
Job: Clinical & Nursing
Primary Location: USA-Ohio-Cincinnati
Other Locations: USA-Ohio-Akron, USA-Ohio-Toledo
Organization: Cenpatico National
Schedule: Full-time
Req ID: 1005605Estimated Salary: $20 to $28 per hour based on qualifications.
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