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Manager of Pediatric Clinical Programs - Remote

Posted 20 weeks ago
All others
Full Time
AZ, USA

Overview

The Manager of Pediatric Clinical Programs will oversee the Integrated Clinical Management activities, ensuring quality and compliance with regulations while promoting cost-effective outcomes.

In Short

  • Responsible for developing and managing clinical programs.
  • Collaborate with community and provider agencies.
  • Provide training and technical assistance to staff.
  • Monitor compliance with NCQA and regulatory standards.
  • Conduct needs and capacity assessments.
  • Requires residency in Arizona.
  • Hybrid work model with onsite requirements.
  • Requires a Bachelor's or Master's degree in relevant fields.
  • 3-5 years of clinical and supervisory experience required.
  • Certification in case management is required after supervision.

Requirements

  • 3 years’ experience in clinical care.
  • 2-3 years’ supervisory experience.
  • Bachelor’s Degree in Nursing or related field.
  • Active RN license or equivalent behavioral health license.
  • Certification in case management post-supervision.
  • Excellent communication and project management skills.
  • Data analytics skills.
  • Ability to prioritize and manage multiple tasks.
  • Strong analytical and problem-solving abilities.
  • Ability to work collaboratively in a team environment.

Benefits

  • Flexible hybrid work environment.
  • Competitive salary and benefits package.
  • Opportunities for professional development.
  • Supportive work culture focused on health and wellness.
  • Engagement in meaningful work impacting community health.

B.C.B.S.O.A

Blue Cross Blue Shield of AZ

Blue Cross Blue Shield of Arizona (AZ Blue) is a leading health insurance provider dedicated to inspiring health and making healthcare accessible for individuals, families, and businesses across Arizona. Recognized as a Healthiest Employer, AZ Blue offers a diverse range of health insurance products and services while providing tools and information to help individuals make informed health decisions. The company embraces a hybrid workforce strategy, allowing flexibility in work arrangements, and is committed to fostering collaborative partnerships within the community to enhance clinical management and improve health outcomes. With over 80 years of experience in transforming healthcare, AZ Blue is focused on delivering quality, cost-effective solutions while ensuring compliance with regulatory standards.

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