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Supervisor, Clinical

Supervisor, Clinical

Job 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.

We are also offering a Sign-On Bonus for this position.

Position Purpose: Supervise and facilitate the daily operations of the case management and utilization management functions.

Position Responsibilities:

  • Oversee the workflow and day-to-day operations of high risk case management and utilization management functions, including implementatoin 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 liasion with other business units and facilitate on-going communications between case management and utilization management staff, communinity 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.

    Job Requirements

    Knowledge/Experience: Master’s degree in Behavioral Health or related field or RN license required. 3+ years of case and/or utilization management experience. Thorough knowledge of a specialized or technical field, such as clinical nursing, case and/or utilization management. Experience in a psychiatric health care setting, including familiarity with mental health community resources. Supervisory or lead experience.

    License/Certificates: Current state’s unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN

    Job Snapshot

    Employment Type Full-Time
    Job Type Health Care
    Education Not Specified
    Experience Not Specified
    Manages Others Not Specified
    Industry Managed Care
    Required Travel None
    Job ID 003EH
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    Supervisor, Clinical

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