New

Unit Mgr Clinical Operations - (HAS & ERS Trainers)

Health Care Service Corporation
United States, Texas, Richardson
1001 East Lookout Drive (Show on map)
Sep 19, 2024
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for supervising a team of Medical Management Trainers focused on training all HAS and ERS staff. The individual will be responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives through effective accountability. This individual will evaluate current processes, identify opportunities for improvement, implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account commitments, and work across the organization to deliver services to the customer. This individual will promote a "Raising the Bar" philosophy inspiring self and others to promote quality and deliver with excellence. JOB 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 year of employment if overseeing case management operations. Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses. PREFERRED JOB REQUIREMENTS: Intentional regard for and manifestation of HCSC's Core Values. Training experience, including SOP and JA creation and revision Management experience. Project Management experience. Master's Degree in Business, Healthcare or related field. This is a Telecommuter position Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$67,500.00 - $143,100.00