Remote Associate Manager, Clinical Health Services – New York

CVS Health

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Remote
NY – Work from home
Full time
Posted Today
R0126817

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

 

 

 

Position Summary:

Join our Aetna Better Health MLTC (Managed Long-Term Care) Assessment Team! The Associate Manager will oversee the implementation of healthcare management services for assigned functional area Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. state and federal standards and mandates as applicable).

  • Serves as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking.
  • Ensures implementation and monitoring of best practice approaches and innovations to better address the member’s needs across the continuum of care.
  • May act as a liaison with other key business areas.
  • May develop/assist in development and/review new training content.
  • May collaborate/deliver inter and intra-departmental training sessions.
  • Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
  • Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and quality of care and monitoring, evaluating and documenting of care.
  • Develop, initiate, monitor and communicate performance expectations.
  • Ensures the team’s understanding and use of information system capability and functionality.
  • May have responsibility for their own case load work.
  • May act as a single point of contact for the customer and the Account Team including: participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers.
  • Participates in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills.
  • Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.
  • Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance.
  • Consistently demonstrates the ability to serve as an model change agent and lead change efforts.
  • Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed.
  • Accountable for maintaining compliance with policies and procedures and implements them at the employee level.

 

Required Qualifications:

  • Active and unrestricted RN license in the state of NY.
  • 3+ years of clinical experience required.
  • 2+ years of leadership, management or supervisory experience required.
  • 1+ year of experience Microsoft Office Suite applications (Word, Excel, Teams, PowerPoint).

 

Preferred Qualifications:

  • Master’s degree preferred.
  • UAS certification preferred.
  • 3+ years of Managed care experience preferred.

 

Education:

Bachelor’s degree is required.

 

 

Pay Range

The typical pay range for this role is:

 

$80,340.00 – $173,000.00

 

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.