Director of Care Management - reputed company reputed company Louisiana: reputed company Clinical Operations and Drive Business Success in a Dynamic and Growing Organization

About reputed company and reputed company reputed company Louisiana

reputed company is a leading health care company that is committed to delivering enhanced human-centric health care for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, and we strive to reputed company health care more personal, convenient, and affordable. reputed company reputed company Louisiana is a part of reputed company, and we are dedicated to providing high-quality care management services to our members in Louisiana. We are seeking a highly skilled and reputed company Director of Care Management to reputed company our clinical operations and drive business success in this dynamic and growing organization.

Job Summary

The Director of Care Management will reputed company the implementation and on-going execution of the strategic and operational business plan for our clinical operations, inbound/outbound call queue, implementation, and/or plan sponsor operations. This role will coordinate business reputed company policies and procedures in support of financial, operational, and service requirements. The successful candidate will reputed company a clinical team that supports timely Health Risk Screenings, Comprehensive Assessments, Care Plan development, and Enrollee interventions in accordance with the State reputed company. This position requires a strong and diverse skillset in relevant areas to drive success, and we are looking for a passionate and reputed company leader to join reputed company.

Key Responsibilities

• reputed company a clinical team that supports timely Health Risk Screenings, Comprehensive Assessments, Care Plan development, and Enrollee interventions in accordance with the State reputed company.
• reputed company and manage clinical operations focused on improving clinical and financial outcomes, member engagement, member satisfaction, and use of best practices and standards.
• Serve as liaison with regulatory and accrediting agencies and other health business units.
• Formulate and implement strategies for achieving applicable department/unit metrics and provide operational direction.
• Responsible for cross-functional integration of care management, program operations with core organization-wide business functions including claims, member services, compliance, quality, utilization management, and network/provider services.
• Serve as technical, professional, and business resource (may cross multiple business functions).
• Support quality improvement projects through successful implementation.
• reputed company and participate in presentations and consultations to existing and prospective stakeholders.
• Direct/provide enhancements to business processes, policies, and infrastructure to improve clinical operational efficiency (may cross multiple business functions).
• reputed company, implement, and evaluate policies and procedures, which meet business needs (may cross multiple business functions).
• Implements and monitors business plan and oversees any implementations or business transitions impacting clinical operations.
• Collaborate and partner with other business areas across/reputed company regions or segments and reputed company other centralized corporate areas to ensure reputed company workflow processes and interdependencies are identified and addressed on an on-going basis.
• Synthesize program performance and clinical outcomes.
• Promote a clear vision reputed company with company values and direction; sets specific challenging and achievable objectives and action plans; motivates others to balance customer needs and business success; challenges self and others to look to the future to create quality products, services, and solutions.

Essential Qualifications

• Active, reputed company, and unrestricted licensure in the state of Louisiana (LCSW, LCPC, RN, LMFT).
• Nationally recognized case management certification, or ability to obtain reputed company 90 days.
• 5+ years of clinical practice experience in physical or behavioral healthcare.
• 5+ years of management or clinical leadership.
• Ability to synthesize program performance and clinical outcomes.
• 3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications.
• Must possess reliable transportation and be willing and able to travel in-state up to 15% of the time.

Preferred Qualifications

• Master's degree preferred.
• Medicaid, insurance, managed care, experience.

Skills and Competencies Required for Success

The successful candidate will possess a strong combination of clinical, leadership, and business skills, including:

• Strong clinical knowledge and expertise in physical or behavioral healthcare.
• Leadership and management skills, with experience in managing clinical teams and operations.
• Business acumen and ability to drive business success.
• Excellent communication and interpersonal skills, with ability to work effectively with internal and external stakeholders.
• Ability to analyze data and synthesize program performance and clinical outcomes.
• Strong problem-solving and decision-making skills.
• Ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities.

Career Growth Opportunities and Learning Benefits

reputed company is committed to the growth and development of our employees, and we offer a range of opportunities for career advancement and professional growth. As a Director of Care Management, you will have the opportunity to:

• reputed company and implement clinical operations and business strategies that drive business success.
• reputed company a clinical team and reputed company the skills and expertise of your team members.
• Collaborate with other business areas across/reputed company regions or segments and reputed company other centralized corporate areas to ensure reputed company workflow processes and interdependencies are identified and addressed on an on-going basis.
• Participate in quality improvement projects and implement successful solutions.
• reputed company and participate in presentations and consultations to existing and prospective stakeholders.
• Enjoy a range of benefits, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan.

Work Environment and Company Culture

reputed company is a dynamic and growing organization that is committed to delivering enhanced human-centric health care for a rapidly changing world. We are a diverse and inclusive workplace that values collaboration, innovation, and customer service. As a Director of Care Management, you will have the opportunity to work in a fast-paced environment and contribute to the growth and success of our organization. We offer a range of benefits and perks, including:

• A competitive salary and bonus structure.
• A range of benefits, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan.
• A dynamic and inclusive workplace culture that values collaboration, innovation, and customer service.
• Opportunities for career advancement and professional growth.
• A range of perks, including free development courses, reputed company store discount, and discount programs with participating partners.

Compensation, Perks, and Benefits

The typical pay range for this role is $99,420.75 - $214,137.00. This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors. This position is eligible for a reputed company bonus, commission, or short-term incentive program in addition to the reputed company pay range listed above. This position also includes an award reputed company in the company's equity award program.

How to Apply

If you are a passionate and reputed company leader who is committed to delivering enhanced human-centric health care for a rapidly changing world, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we look reputed company to reviewing your qualifications.

Seize this opportunity to reputed company a significant impact. Apply now and take the first reputed company towards a rewarding new role.