Associate Manager, Clinical Health Services.
CVS Pharmacy - South Plainfield, NJ
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Job DescriptionThis is a telework position with up to 10% travel to - Middlesex and surrounding counties.Prefers candidates residing in Middlesex County. Standard working hours: Monday -Friday 8am to 5 pm EST.At Aetna Better Health of New Jersey, we believe that our members should have the opportunity to be leaders in their care. Our healthcare professionals are invested in connecting and servicing the Medicaid population in all 21 counties of New Jersey. This is an opportunity to make an impact on the lives of others by getting to know their stories to improve the quality of their lives. The most rewarding aspect of the MLTSS care management role is evidenced by the positive outcomes of collaborative efforts between the care manager, member, and servicing providers.Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires leadership, advanced clinical judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care management supervisor will be responsible daily program oversight, staff recruitment, staff retention, problem solving, inter and intradepartmental collaboration, direct collaboration with state partners.The Care Management Supervisor shall be responsible forthe management and supervision of the MLTSS Care Management staff. The supervisor is responsible for the daily operations of the MLTSS Program and contractual adherence. The Supervisor will oversee staff who cover Middlesex and surrounding countiesSuccessful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.Required Qualifications-Minimum of 4 years of experience serving members/patients with special needs.-Minimum of 1 year of previous leadership experience managing teams and personnel.-Active unrestricted State Licensure in applicable functional area. (eg RN, LSW, LCSW) in the state of NJ.-Willing and able to travel up to 10% of their time using your own vehicle to meet and support staff in Middlesex and surrounding areas/counties.-Valid Driver's License Required.-Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications-Excellent assessment, writing and communication skills.-MCO experienceEducationBachelor's degree in nursing required for RN license and Master's degree required for BH license.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Created: 2024-09-07