Health Care Service Corporation

Unit Manager, Clinical Operations

Health Care Service Corporation

full-time

Posted on:

Location Type: Hybrid

Location: Richardson • Illinois, Montana, New Mexico, Texas • 🇺🇸 United States

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Salary

💰 $69,200 - $146,700 per year

Job Level

JuniorMid-Level

About the role

  • Supervise clinical staff involved in a variety of clinical operations.
  • Responsible for hiring, training, and performance reviews.
  • Implement processes, procedures, and initiatives and monitor results.
  • Ensure delivery of effective customer service and monitor department performance.
  • Collaborate across the organization in service delivery.

Requirements

  • Registered Nurse (RN), with current, unrestricted license to practice in state of operations.
  • 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 years of employment if overseeing case management operations.
  • Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
Benefits
  • Health and wellness benefits
  • 401(k) savings plan
  • Pension plan
  • Paid time off
  • Paid parental leave
  • Disability insurance
  • Supplemental life insurance
  • Employee assistance program
  • Paid holidays
  • Tuition reimbursement
  • Other incentives

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
clinical operationsutilization reviewmanaged caredirect clinical carecase management
Soft skills
leadership skillsanalytical skillssound clinical judgmentverbal communicationwritten communicationinterpersonal communication
Certifications
Registered Nurse (RN)Case Management Certification (URAC accredited)