Unit Mgr Clinical Operations

Job Opportunity At HCSC

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 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 / exceed 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 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
• Supervisory experience.
• Bachelor degree.
• Current CCM Certification.
• Experience with Condition / Disease Management Programs.

Pay Transparency Statement : At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement : We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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 $69,200.00 - $146,700.00. Exact compensation may vary based on skills, experience, and location.