Job Overview
We are actively seeking a dedicated Behavioral Clinical Program Manager to join our innovative team. This remote position offers an exceptional opportunity for professionals in the behavioral health sector to influence quality improvement initiatives and strengthen relationships with providers across Kansas.
Key Responsibilities
- Cultivate and sustain strong partnerships with provider leadership and clinical teams.
- Evaluate provider performance against established quality metrics and contractual obligations.
- Facilitate regular meetings with providers to assess progress and identify enhancement opportunities.
- Conduct comprehensive program audits, delivering constructive feedback and actionable insights.
- Analyze clinical data to uncover opportunities for improving outcomes and operational efficiency.
- Collaborate closely with providers to execute interventions and implement quality improvement strategies.
- Support high-performing providers to ensure continued excellence in care delivery.
- Offer clinical support and guidance on care coordination as needed.
- Provide training and educational resources to enhance provider capabilities.
- Work collaboratively with cross-functional teams in Care Advocacy, Network Management, Affordability, and Quality Improvement to drive impactful results.
Required Skills
- A Licensed Master’s-level clinician (e.g., Psychology, Social Work, Counseling, or Marriage and Family Therapy) or a Registered Nurse with a BSN or equivalent degree in behavioral health.
- Active and unrestricted professional license in Kansas.
- Proven experience utilizing clinical data and outcome measures to effect change within healthcare settings.
- Strong leadership and presentation abilities, particularly in influencing quality improvement initiatives.
- Excellent skills in relationship-building, communication, and organization.
- Proficiency in Microsoft Office and solid technical skills.
Qualifications
- A minimum of 3 years of experience in Managed Care or Utilization Review, particularly in behavioral health (preferred).
- Direct clinical experience in the behavioral health field (preferred).
- Familiarity with Value-Based Programs and Public Sector benefit plans (preferred).
- Understanding of claims processes and billing codes (preferred).
Career Growth Opportunities
Joining our team means being part of an organization that promotes professional development and encourages continuous learning within the behavioral health domain. We are committed to providing our employees with the resources and opportunities necessary for career advancement.
Company Culture And Values
We pride ourselves on fostering a culture of collaboration, respect, and inclusivity. Our values are reflected in our commitment to improving the quality of care in behavioral health, making us a respected leader in the industry.
Networking And Professional Opportunities
As part of our team, you will have access to a robust professional network, which provides invaluable opportunities for skill development, collaboration, and mentorship with industry leaders.
Employment Type: Full-Time
