Unit Manager Clinical Operations
Downers Grove (3500 Lacey Road)
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Job SummaryThis position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account contracts, and work across the organization in delivery of services to the customer.JOB REQUIREMENTS:
- Registered Nurse (RN), with current, unrestricted license to practice in state of Illinois.
- 2 years clinical experience with direct clinical care to the consumer.
- 2 years utilization review/ managed care experience.
- Leadership skills.
- Knowledge of managed care program policies and procedures.
- Knowledge of managed care and insurance industry.
- Verbal, written, and interpersonal communication skills.
- PC proficiency to include Word, Excel, PowerPoint.
- Analytical skills and sound clinical judgment.
- Case Management Certification (URAC accredited certification) or obtain URAC accredited case management certification within three year of employment if overseeing case management operations.
- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
PREFERRED JOB REQUIREMENTS:
- Supervisory experience.
- Bachelor degree.
This is a Telecommute (Remote) role: must reside within a 250 mile radius of our listed IL location.
Sponsorship is not available.
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HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$67,500.00 - $143,100.00 ApplyJob Profile
Must reside within 250 miles of Downers Grove Remote role Sponsorship not available
Benefits/PerksCurated development plans Employee Referral Process Inclusive workplace Professional development Purpose-driven company
Tasks- Case management
- Disease management
- Ensure customer service delivery
- Hiring and training
- Implement processes and procedures
- Leadership
- Monitor results
- Performance reviews
- Supervise clinical staff
- Utilization Management
- Utilization review
Analytical Business Case Management Change Management Clinical Care Clinical Experience Clinical Judgment Clinical operations Communication Customer service Disease Management Excel Insurance Interpersonal Interpersonal Communication Leadership Managed Care Managed Care Knowledge Managed Care Policies Management Nursing Organization PC PC Proficiency PowerPoint Registered Nurse RN URAC Utilization management Utilization Review Word
Experience2 years
EducationBachelor Bachelor degree Business Nursing Registered Nurse RN
CertificationsCase management certification Registered Nurse URAC Accredited Certification
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9