Manager, Specialty Therapy – Rehabilitation Services
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Montana • North Carolina • United States
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Salary
💰 $87,700 - $157,800 per year
About the role
- Manage Specialty Therapy and Rehabilitation Services (STRS) clinical services including management and marketing of clinical services
- Manage clinical services including oversight of clinical policies and procedures and day-to-day operation
- Oversee the provider outreach and training activities pre and post implementation
- Ensure compliance with established initial and concurrent review, referral, and authorization policies, procedures and processes
- Ensure all programs and clinical operations are in full compliance with state and federal regulations, including HIPAA
- Ensure payer contract clinical deliverables are met
- Monitor the effectiveness of existing procedures and outreach/intervention efforts and ensure full compliance with physical, occupational, speech, and home health scope of practice state guidelines
- Analyze data, monitor trends and recommend potential quality improvement opportunities including provider issues, service gaps, member needs
- Ensure accurate and timely reporting to health plan partners on authorizations, denials, appeals, provider outreach, call center metrics, and utilization trends to include analytics and interventions
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
- Master’s degree in Speech, Occupational or Physical Therapy or equivalent
- 5+ years of specialty therapy or rehabilitation services experience
- Thorough knowledge of a specialized or technical field such as case and/or utilization management, including review procedures and educational services
- Supervisory experience preferred
- Current certification/licensure in Speech-Language Pathology, Occupational Therapy, or Physical Therapy in state of practice
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical services managementclinical policies oversightdata analysisquality improvementutilization managementprovider outreachreportingcompliance monitoringauthorization proceduresrehabilitation services
Soft Skills
leadershipcommunicationorganizational skillstrainingproblem-solvinganalytical thinkinginterpersonal skillssupervisory skillscollaborationattention to detail
Certifications
Speech-Language Pathology licenseOccupational Therapy licensePhysical Therapy license