Senior Manager Care Management - Remote Opportunity at blithequark: Shaping the Future of Healthcare

Join blithequark and Be Part of Revolutionizing Healthcare At blithequark, our mission is clear: to carry our heart to each moment of your health. We're driven by a singular purpose - to deliver enhanced, human-driven healthcare in a rapidly evolving world. Our Heart At Work Behaviors guide our actions, empowering every individual to play a pivotal role in transforming our culture and accelerating our ability to innovate and deliver solutions that make healthcare more personal, convenient, and affordable. About the Role: Senior Manager Care Management We're seeking a highly skilled Senior Manager Care Management to lead our care management strategies, policies, and programs at blithequark. This role is crucial in driving the delivery of quality healthcare to our members. As a Senior Manager, you will oversee the management of high-performing teams, ensure the effective operation of care management and care coordination activities, and serve as a liaison with regulatory and accrediting agencies. Key Responsibilities: Develop, implement, uphold, and advance health services strategies, policies, and programs that drive the delivery of quality healthcare to blithequark members. Lead the clinical team that supports timely health risk screenings, comprehensive assessments, care plan development, and member interventions according to the blithequark Hazard Definition Level System and state regulatory requirements. Serve as a liaison with regulatory and accrediting agencies and other health specialty units. Act as a technical, professional, and business resource, potentially across multiple business capabilities. Support quality improvement projects through effective execution. Create, implement, and evaluate policies and procedures that address business issues. Demonstrate the ability to coordinate program implementation and clinical outcomes. Show a deep understanding of the regulations, rules, and policies related to clinical management. Communicate effectively with internal and external constituents in both written and oral form. Evaluate and interpret data to monitor staff performance, regulatory compliance, and the development of new projects and processes. Participate in the recruitment and hiring process for staff, defining clear requirements for education, experience, technical, and performance skills. Develop, initiate, monitor, and communicate performance expectations. Support the management of complex physical and behavioral health cases by being clinically and culturally competent. Lead regularly scheduled individual and group meetings with a focus on member management delivery, fulfillment of administrative responsibilities, and meeting established productivity standards. Ensure Care Management compliance with contract requirements and identify opportunities to implement best practice approaches. Meet clinical operational and quality targets of the contract and demonstrate the ability to act as a change agent and lead change efforts. Maintain compliance with policies and procedures and implement them at the staff level. Essential Qualifications: Active, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW). 7 years of experience in a clinical subject matter area. 7 years of supervisory/administrative experience. Care management experience. Knowledge of regulations, rules, and policies related to clinical management. 3+ years of experience with PC, keyboard navigation, and MS Office Suite applications. Preferred Qualifications: Managed care experience. Certified Caseworker (CCM). Texas Medicaid experience, specifically TX STAR and CHIP. Education: A Bachelor's degree is required for RN licensure or a graduate degree in social services/clinical counseling for BH licensure. Compensation and Benefits: The typical pay range for this role is competitive, reflecting blithequark's commitment to attracting and retaining top talent. The actual base compensation offer will depend on various factors, including experience, education, geography, and other relevant elements. This position is eligible for a blithequark bonus, commission, or short-term incentive program. Why Join blithequark? At blithequark, we value diversity and are committed to helping you achieve your career goals. As a member of our team, you'll be part of a group dedicated to improving the lives of our members. We offer a dynamic work environment that fosters growth, innovation, and collaboration. Our remote work setup provides the flexibility you need to succeed. Career Growth and Development: blithequark is dedicated to your professional growth and development. As a Senior Manager Care Management, you'll have opportunities to advance your skills, take on new challenges, and contribute to the evolution of our healthcare services. Our commitment to quality improvement and innovation ensures that you'll be working in a stimulating environment that encourages continuous learning and excellence. Our Culture: Our Heart At Work Behaviors are at the core of our culture, guiding our interactions and decisions. We prioritize empathy, integrity, and accountability, creating a workplace where everyone feels valued and empowered to make a difference. By joining blithequark, you'll become part of a community that is passionate about delivering exceptional healthcare experiences. Take the Next Step If you're a motivated professional looking to make a meaningful impact in the healthcare industry, we encourage you to apply for this exciting opportunity at blithequark. As a Senior Manager Care Management, you'll play a critical role in shaping the future of healthcare and advancing our mission to carry our heart to each moment of your health. Don't miss this chance to join a dynamic team and be part of something extraordinary. Apply now and discover how you can contribute to and grow with blithequark. Apply for this Opportunity! Apply for this job