Associate Manager, Clinical Health Services
CVS Pharmacy - Downers Grove, IL
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Job DescriptionThe Associate Manager role is a remote, work from home position, with travel required, as needed. Working schedule: Monday through Friday 8:30am-5:00pm CST, this could change depending on primary location of provider partners.The Associate Manager is responsible for oversight of healthcare management staff including Case Management, Licensed Clinical Social Workers, Registered Dieticians, and clinical support staff. This position includes building and development of a high performing team and daily supervision of this team. This specific Associate Manager position is working with a dedicated team supporting the DCE Advanced Care Coordination Program (will convert to ACO REACH Program in 2023). The Associate Manager role includes (but is not limited to):- Accountable for meeting the financial, operational, and quality objectives of the unit.- Oversees the implementation of healthcare management services for assigned functional area.- Implements clinical policies & procedures in accordance with applicable regulatory standards (e.g., CMS, state and federal standards and mandates as applicable).- Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking.- Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care.- May act as a liaison with other key business areas.- May develop/assist in development and/review new training content.- May collaborate/deliver inter and intra-departmental training sessions.- Protects the confidentiality of member information and adheres to company policies regarding confidentiality.- Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and quality of care and monitoring, evaluating, and documenting of care.- Develop, initiate, monitor and communicate performance expectations.- Ensures the team's understanding and use of information system capability and functionality.- May act as a single point of contact for the customer and the Account Team including participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers.- Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills.- Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.- Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance.- Consistently demonstrates the ability to serve as a model change agent and lead change efforts.- Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed.- Accountable for maintaining compliance with policies and procedures and implements them at the employee level.Required Qualifications Must have an active unrestricted RN licensure in the state you reside Willing and able to obtain additional state licensures upon hire 3+ years of case management experience 1+ year(s) of team lead or leadership experience 3+ years of computer experience, including navigating multiple systems, keyboarding, ability to use standard software packages, and Microsoft Word, Outlook, ExcelCOVID 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 Previous supervisory experience Certified Case Manager (CCM) Previous Medicare experience Experience working in an ACO (Accountable Care Organization) setting Demonstrated analytic and problem-solving skills Ability to work independently (this position will be work from home) Excellent written and verbal communication and presentation skills Demonstrated interpersonal and delegation skills required Ability to communicate effectively with providers, staff, members/beneficiaries, and other leaders both in oral and written formats. Ability to evaluate and interpret data and identify areas of improvement. Ability to mentor and support staff to meet business needs.Education- Associate's degree in Nursing with RN licensure required. - BSN preferred.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