Manager - Clinical Health Services - OhioRISE

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Administers an effective Clinical Health Services program through multi-disciplinary teams to improve health care outcomes and client satisfaction.

Develops actionable insights on opportunities and fosters programs to improve the operational efficiency and cost-effectiveness of Clinical Health Services processes and programs.

Oversees the Clinical Health Services department's compliance with federal and local requirements and departmental guidelines and procedures.

Plans, develops, and manages the budget, exercising appropriate fiscal constraints to ensure the most efficient and economic practices for optimal service delivery within established budget.

Remains abreast on all current laws pertaining to the department and company operations.

Negotiates written agreements with outside providers and facilities in conjunction with other internal departments.

Establishes and maintains cooperative and productive professional relationships with health coordinators and case managers at various facilities and community organizations.

Provides direct supervision to the Clinical Health Services staff, and other staff personnel assigned to the administration.

Ensures professional cooperation between Clinical Health Services and all other departments and administrations.

A Brief Overview
Designs and implements Clinical Health medical services, leveraging industry-proven procedures and best practices. Assists with clinical Health Service programs, procedures, and services.

What you will do

• Works closely with functional Health Services managers in order to ensure ongoing consistency and accuracy in clinical interventions supporting current members.

• Takes accountability for completing tasks aimed to successfully achieve the financial, operational, and quality objectives of the work area.

• Assists in implementing and sustaining action plans, initiatives, and strategies for Clinical Health Services policies and procedures.

• Provides application expertise to Health Services account managers as needed, to aid in the retention of existing clients by improving team member use of healthcare resources and tools.

• Partners with patient resources and divisional management, Clinical Education, and other key departments to assist in the evaluation of performance initiatives, subsequently recommending appropriate training to positively impact outcomes.

• Works to implement effective Clinical Health Services change management plans when new initiatives are rolled out or enhanced by upper management.

• Facilitates regular staff meetings to ensure all team members are fully versed on ongoing as well as new work area policies, procedures, and expectations.

Required Qualifications

Must reside in OH, WV, KY or LA

5-7 years in clinical area of expertise - LPCC, LPCC-S, LISW, LISW-S, RN (Master level)

Supervisory/managerial experience managed care and care management

For Behavioral Health (BH) roles, colleagues residing outside of Ohio must be in the process of obtaining the required licensure upon hire and are expected to secure licensure within 60 days of their hire date.

RN and/or Behavioral Health license in good standing with no restrictions required

Preferred Qualifications

Mastery of problem solving and decision making skills.
Mastery of collaboration and teamwork
Mastery of growth mindset (agility and developing yourself and others) skills
Mastery of execution and delivery (planning, delivering, and supporting) skills
Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.
Mastery knowledge of phases of care transitions and resources available for patients.
Mastery of digital literacy skills.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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