Manager, Pediatric Care Management - Remote

Overview

The Manager of Pediatric Care Management will lead a team to manage care coordination for behavioral health members, ensuring high-quality and cost-effective healthcare outcomes.

In Short

• Manage care management team and care coordination for behavioral health.
• Oversee compliance with federal and state regulations.
• Develop and implement care management policies.
• Direct daily activities of care management staff.
• Manage escalated and complex care cases.
• Provide guidance to team members on member concerns.
• Set goals for cost-effective healthcare results.
• Assist in onboarding and training new employees.
• Comply with all company policies and standards.
• Participate in audits and evaluations of care programs.

Requirements

• Master's degree or degree from an accredited nursing school.
• 5+ years of related experience in pediatrics.
• Licensed Clinical Behavioral Health Professional or RN.
• Experience in behavioral health required.
• Strong leadership and management skills.
• Ability to develop care management programs.
• Excellent communication skills.
• Knowledge of compliance regulations.
• Experience with care coordination.
• Ability to manage complex care cases.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.