Clinical Team Manager Pre-Service Operations

Overview

Required skills & experience (the 5 “must haves” to be considered) 1. Must possess an active license as one of the following: • Registered Nurse • Occupational Therapist • Physical Therapist 2. Five years of relevant clinical healthcare experience 3. Previous management experience required; experience managing multi-disciplinary care teams, including nurses, therapists, social works, and case managers preferred 4. 2-3 years of Utilization Management or Utilization Review experience required 5. Insurance/buyer experience as a RN, OT, or PT required (prefer 2-4 years). What you need to know: • The Clinical Team Managers will sit onsite in the corporate office in TN. • Responsible for the day-to-day management and leadership within the Pre-Service Utilization Management component of clinical operations teams. • Ensures appropriate daily execution of all pre-authorizations and Health Plan member transitions as prescribed by the utilization model. • Manages the daily operations with teams of Pre-Service Coordinators {direct reports} to standardize and maintain excellent performance delivery. • Will have six weeks of training. • 10% Bonus

Benefits

Company

Since 2012, this client has been a trusted partner for the nation’s top health plans, health systems, post-acute care providers, and at-risk physician groups navigating the shift from volume to value. Their high-touch, proven care model fully supports patients from pre-acute through to the home. This client's patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions.