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Health Services Clinical Supervisor/Manager

Company: CenCal Health
Location: Santa Barbara
Posted on: March 10, 2019

Job Description:

Location: Santa Barbara, California, , United StatesJob ID: 47121088Posted: 03/05/2019Position Title: Health Services Clinical Supervisor/ManagerCompany Name: CenCal HealthSector: HospitalEntry Level: falseMin Education: BA/BS/UndergraduateMin Experience: 1-2 YearsHealth Services Clinical Supervisor/Manager

Full-TimeSanta Barbara, CA, USAReq Number: HEALT01124

Description

  • Provide education and training to health services clinical and administrative staff
  • Serve as a resource for other CenCal Health staff
  • Identify areas for process improvements and assists with their implementation
  • Support administrative and clinical staff in answering phone inquiries
  • As assigned, perform retrospective claims review
  • Carry a caseload of utilization or case management activities as assigned; supports clinical staff with day-to-day activities related to the review, coordination, care planning, and transition of care
  • Interface with and serve as a resource to members and providers to clarify processes, answer questions, and address issues or concerns
  • Handle and resolve daily issues, concerns and disputes of unit staff
  • Provide new staff orientation and mentor activities
  • Assist and coordinate staff assignments and coverage
  • Identify problems or issues within established utilization management (UM) or case management (CM) processes, policies or procedures, and make suggestions for efficient resolution
  • Identify process-oriented opportunities for improvement
  • Assist with coordination and facilitation of regular staff meetings
  • Participate in internal and external audits
  • Other duties as assigned Qualifications

    Education Required:
    Bachelors or better in Nursing or related field

    Experience

    Required:

    • 1-3 years: Supervisory or Management Role
    • 3 years: Practicing Registered Nurse, Social Worker, Clinical Psychologist or Psychologist
      Preferred:

      • 1 year: Experience with Medi-Cal and Medicare line of business
      • 1 year: Health plan or managed care experience

        Licenses & Certifications

        Required: Registered Nurse

        To Apply and Learn More: PI108326909

        Keywords: CenCal Health, Santa Barbara , Health Services Clinical Supervisor/Manager, Executive , Santa Barbara, California

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