Manager Clinical Support
Share
Job Location:
Houston, MS - USA
Monthly Salary:
Not Disclosed
Posted on:
11 days ago
Vacancies:
1 Vacancy
Job Summary
We are searching for a Manager of Clinical Support. This position is responsible for assisting with the interpretation of federal state and other regulations and requirements related to all Medicaid products and coordinating/providing the necessary reporting requirements in a timely manner. Responsibilities include direct and indirect supervision or clinical and non-clinical team members.
Think youve got what it takes
Qualifications:
- Bachelors Degree in Nursing required
- RN - License-Registered Nurses from Texas Board of Nursing or Nurse Licensure Compact required
- 4 years Business Operations in a Healthcare or Insurance Environment or Nursing Managed Care experience required
- Management/Leadership experience preferred
Responsibilities:
- Develops strategies policies and procedures to ensure regulatory compliance.
- Ensures appropriate communications and partners with others both within and across teams to accomplish goals.
- Provides data and reporting on productivity and other metrics.
- Develops and implements process improvement initiatives both clinical and non-clinical.
- Ensures quality calls and key performance metrics are met and adhered to according to any internal or external requirements for the call center.
- Manage the Quality of the Care Coordination Team at the Health Plan using nursing/clinical knowledge
- Manage and oversee the actions taken as the result of audits and/or member complaints ensuring appropriate actions are taken.
- Ensure the timely and accurate completion of all state reporting requirements for Care Coordination quality reporting.
Required Experience:
Manager
Key Skills
- Computer Hardware
- Inventory Control
- Developmental Disabilities Experience
- Management Experience
- Mobile Devices
- Remote Access Software
- Team Management
- Operating Systems
- Supervising Experience
- Technical Support
- Phone Etiquette
- Application Support
About Company
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more
