Blue Cross and Blue Shield of Illinois, Montana, N Unit Mgr Clinical Operations in Richardson, Texas

Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

BASIC FUNCTION:This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account contracts, and work across the organization in delivery of services to the customer. 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/Management/Supervisory skills WITH DIRECT REPORTS.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).

PREFERRED JOB REQUIREMENTS:*Bachelor degree.

CBDICE 14LI-POSTCA

Location: TX - Richardson

Activation Date: Tuesday, July 25, 2017

Expiration Date: Friday, September 1, 2017

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