This listing was posted on ApplicantPro.
Clinical Network Manager
Location:
Remote
Description:
Who We Are At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our mission - and our passion - is to improve the lives of the members we serve and be the ideal partner for our providers. Lucet's unique combination of people and technology has proven to optimize access to behavioral health care providers and increase a health plan's ability to connect members to quality care. With the industry's largest network of care navigators and technology powered by more than six million assessments and more than 20 years of data, Lucet is the only solution proven to successfully identify and connect people across the entire acuity spectrum with the right care in less than five days on average, and often as little as one day. Our members, providers and partners fully entrust us to deliver outstanding quality care through coordinated behavioral health services, employee assistance programs, organizational consulting, student well-being programs and more. When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives. Job Summary The Clinical Network Manager supports provider performance activities in an effort to improve quality care delivery of behavioral health services. Must utilize a clinical and business skillset to be a strategic business partner who actively engages with internal and external customers to achieve organizational goals. Essential Functions Work closely with Clinical and Reporting & Analytics teams to assess provider data to identify provider performance opportunities. Support the identification of select providers in an effort to shift fee for service contracts to value-based models. Serve as a clinical liaison working between Lucet clinical and Quality teams and external participating providers/facilities to effectively meet desired clinical outcomes and collaboration. Create services and differentiators that meet the unique needs of the Plan's membership including high risk/high cost members (chronic and relapsing mental health conditions, substance use dependence, child and adolescent mental health, eating disorders and autism). Implement an ongoing monitoring program that ensures program integrity and performance. Support an effective internal communication and collaboration strategy to ensure awareness of program requirements and provider performance. Develop and implement comprehensive provider-specific plans for qualitative improvement in network performance working in concert with appropriate Lucet functional areas, for under-performing providers and support execution accordingly. Process and effectively address concerns, needs, and requests from internal and external customers. Utilize data analysis and identify outlier providers who would benefit from coaching and/or training. Partner with our Department Directors on provider education activities including development of web-based and face-to-face presentations for orientation and education. Participate in professional organizations and professional development activities; maintain professional growth and development through self-directed learning activities. Keep current with all clinical affairs trends, policies, and practices. Develop diverse, responsive "best practices" networks to meet organizational needs as measured by customer requests, geo access standards, routine appointment availability studies, member outcomes, and other metrics as may be identified. Distribution of educational material and procedures to network providers. Coordinate and manage delivery of educational programs such as workshops (live and web based) and quarterly meetings. Adhere to Lucet Mission Statement, Core Values, Code of Business Conduct, and Compliance Program. Comply with all Federal and applicable State laws and Lucet Policies regarding, privacy, confidentiality, and security of health information, and other designated information. Job Qualifications Required Master's Degree in behavioral health field and has a current, unrestricted state license to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse in the state in which the business operation is located and/or other states as required by law, regulation or contract Minimum of two (2) years post-licensure clinical experience of clinical practice. Demonstrated understanding and proficiency in the principles, concepts and techniques of health care management related to substance use and/or mental health. Knowledge of outcomes-based reimbursement strategies; behavioral health clinical protocols; contract negotiation, customer relationship management, substance use step-down levels of care within residential, inpatient and outpatient settings. Experience conducting financial analysis by working with claim data and Microsoft Excel spreadsheets to develop a business strategy. Proven track record of working as a team player to achieve business related goals that improve the quality and cost of care. Computer savvy with proficiency working with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, etc.). Must be able to travel up to 50%. Must have valid driver's license and proof of insurance. Preferred Substance abuse disorder specialty. Key Competencies Can leverage a clinical and business skillset to be a strategic business partner who actively engages with internal and external customers to achieve organizational goals. Someone who seeks innovative ways to get things done and enlists others in realizing the vision while adeptly working within a changing environment. Well-organized who can meet overall organizational needs while leveraging resources to maximize results and positive outcomes. An effective communicator with excellent interpersonal skills. Able to function independently. Working Conditions Work is performed indoors in a typical office environment- not substantially exposed to adverse environmental conditions Frequent exposure to VDT screen Frequent use of office machines to include telephone, copier, computer and fax machine Job Posted by ApplicantPro
Company:
Lucet
Posted:
December 26 2023 on ApplicantPro
Visit Our Partner Website
This listing was posted on another website. Click here to open: Go to ApplicantPro
Important Safety Tips
- Always meet the employer in person.
- Avoid sharing sensitive personal and financial information.
- Avoid employment offers that require a deposit or investment.
To learn more, visit the Safety Center or click here to report this listing.
More About this Listing: Clinical Network Manager
Clinical Network Manager is a Technology Network Manager Job at Lucet located in United States. Find other listings like Clinical Network Manager by searching Oodle for Technology Network Manager Jobs.
Clinical Network Manager is a Technology Network Manager Job at Lucet located in United States. Find other listings like Clinical Network Manager by searching Oodle for Technology Network Manager Jobs.