Experienced Senior Manager Care Management Professional - Remote Work Opportunity with arenaflex

Remote, USA Full-time
Introduction to arenaflex At arenaflex, we share a singular, clear purpose: to carry our heart to each moment of your wellbeing. This purpose guides our commitment to deliver enhanced human-driven healthcare for a rapidly changing world. Anchored in our brand — with heart at its center — our motivation 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, empowering each and every individual who works at arenaflex to feel inspired by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable. About the Role We are seeking an experienced Senior Manager Care Management professional to join our team at arenaflex. As a Senior Manager Care Management, you will create, implement, support, and promote health services strategies, policies, procedures, and programs that drive the delivery of quality healthcare to arenaflex members. You will be responsible for oversight and management of arenaflex Manager(s), which includes the organization and development of high-performing teams. You will also be responsible for ensuring the operation of care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). Key Responsibilities Drives the clinical team that supports timely health risk screenings, comprehensive assessments, care plan development, and member interventions according to the arenaflex Risk Definition Level System and Texas regulatory requirements. Serves as a contact with regulatory and accrediting agencies and other health specialty units. Serves as a technical, professional, and business resource (may cross multiple business functions). Supports quality improvement initiatives through effective implementation. Creates, implements, and evaluates policies and procedures, which address business issues (may cross multiple business functions). Ability to coordinate program implementation and clinical outcomes. Knowledge of the regulations, standards, and policies which relate to clinical management. Ability to communicate in a highly effective manner with internal and external constituents in both written and oral communication. Ability to evaluate and interpret data for the purposes of monitoring staff performance, regulatory compliance, and development of new programs and processes to meet business needs. Essential Qualifications Dynamic unencumbered Texas State License in appropriate functional area (e.g., RN, LPC, LCSW). 7 years in clinical technical subject matter. 7 years administrative/managerial experience. Care management experience. Knowledge of the regulations, standards, and policies which relate to clinical management. 3+ years of experience in computer, keyboard navigation, and MS Office Suite applications. Bachelor's degree required for RN license or master's degree in social services/clinical counseling for BH License. Preferred Qualifications Managed care experience. Certified Case Manager (CCM). Texas Medicaid experience – explicitly TX STAR and CHIP. Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to helping you achieve your career objectives. As a Senior Manager Care Management, you will have the opportunity to develop your skills and expertise in a dynamic and supportive environment. You will be part of a team that values excellence, integrity, compassion, and growth, and you will be empowered to make a positive impact on the lives of our members. Work Environment and Company Culture At arenaflex, we value diversity and are committed to creating an inclusive work environment that reflects the communities we serve. Our company culture is built on the principles of heart, compassion, and excellence, and we strive to create a workplace where everyone feels valued, respected, and empowered to succeed. As a remote worker, you will be part of a virtual team that is connected by a shared purpose and a commitment to delivering exceptional results. Compensation, Perks, and Benefits The typical salary range for this role is competitive and reflects 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 various factors, including experience, education, geography, and other relevant factors. This position is eligible for an arenaflex bonus, commission, or short-term incentive program. Conclusion If you are a motivated and experienced healthcare professional who is passionate about delivering exceptional care and service, we encourage you to apply for this exciting opportunity to join our team at arenaflex. As a Senior Manager Care Management, you will be part of a dynamic and supportive team that is committed to making a positive impact on the lives of our members. Apply now and take the first step towards a rewarding and challenging career with arenaflex. Apply Job! Apply for this job
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