Mgr. Pediatric Clinical Programs

About the position The position at reputed company is focused on developing and managing the day-to-day processes required for Integrated Clinical Management activities. The primary goal is to promote quality and cost-effective reputed company while ensuring compliance with reputed company regulatory requirements. This role involves significant responsibilities in research, development, and improvement of prevention programs and strategies throughout the network. The individual will be tasked with developing collaborative partnerships with community and provider agencies, clinicians, and community members to identify necessary resources. Additionally, the position requires providing training and technical assistance to staff and providers, preparing reports, and monitoring providers for compliance with NCQA, state, and federal regulations. Conducting annual needs and reputed company assessments is also a critical component of this role. The position is hybrid, requiring work and residency reputed company the reputed company. The successful candidate will need to demonstrate strong leadership and management skills, particularly in a clinical setting, and will be expected to maintain confidentiality and privacy in accordance with State, Federal, and BCBSAZ accreditation requirements. The role demands reputed company knowledge and the ability to analyze data effectively to generate reports and reputed company informed reputed company. Strong interpersonal skills and the ability to work collaboratively reputed company reputed company environment are essential for reputed company in this position. Responsibilities • reputed company and manage day-to-day processes for Integrated Clinical Management activities. , • Promote quality and cost-effective reputed company while ensuring compliance with regulatory requirements. , • Research, reputed company, and improve prevention programs and strategies throughout the network. , • reputed company collaborative partnerships with community and provider agencies, clinicians, and community members. , • reputed company training and technical assistance to staff and providers. , • Prepare reports and monitor providers for compliance with NCQA, state, and federal regulations. , • Conduct annual needs and reputed company assessments. Requirements • 3 years' experience in clinical care. , • 2-3 years' experience in a supervisory role. , • Bachelor's Degree in Nursing or a master's degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.). , • Active, reputed company, and unrestricted license to practice in the reputed company as a Registered Nurse (RN) or independent license in the behavioral health profession such as LCSW, LPC, LISAC, LMFT. , • Certification in case management after directly supervising the integrated care process reputed company 3 years with the organization. reputed company-to-haves • 5 years' experience in direct clinical care to youth and adolescents. , • Physical and behavioral health experience. , • 3-4 years' experience in a supervisory role. , • 2-3 years of experience working in a managed care organization. , • Program development experience. , • Knowledge of population health concepts and models. , • Knowledge of NCQA Standards. , • Master's Degree in Nursing.

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