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MANAGER CLINICAL SERVICES, BEHAVIORAL HEALTH - DUALS PROGRAM
Job Field: Hospitality Jobs
Location: San Rafael, CA
Salary: $Not stated
Location: San Rafael, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>Title: Manager Clinical Services, Behavioral Health - Duals ProgramLocation: United States-California-San RafaelOther Locations:Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable. The company provides health benefits to approximately 6.0 million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as "Part D"), Medicaid, Department of Defense, including TRICARE, and Veterans Affairs programs. Health Net's behavioral health services subsidiary, Managed Health Network, Inc., provides behavioral health, substance abuse and employee assistance programs to approximately 5.4 million individuals, including Health Net's own health plan members. The company's subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.For more information on Health Net, Inc., please visit the company's website atwww.healthnet.com.JOB SUMMARY:The Manager of Clinical Services assists Medical Management in providing consultation, education, and evaluation, and provides support to assigned region and assists in provision of standard policies, procedures and criterion for assuring quality service. Assists investigating unit regulatory deficiencies, and develops and implements a plan to correct any deficiencies.ESSENTIAL DUTIES AND RESPONSIBILITIES:* Supervision of clinical staff for all public sector business lines.* Interviews, recommends for hire, and evaluates staff; counsels and confronts unsatisfactory performance promptly and fairly and administers corrective action.* Identifies department goals and objectives, develops and communicates action plans through regular staff meetings and other communications, uses team approach to problem solving and sets clear expectations.* Identifies training needs and develops and participates in staff training. Provides a challenging and supportive environment and delegates appropriately. Seeks additional training opportunities through outside sources.* Conducts training sessions designed to update, improve, or upgrade knowledge and skills of others.* Provides evidence-based analysis of medical management practices.* Interfaces with Medical Management associates and management team related to identifying and prioritizing system modifications and process improvements.* Keeps current on industry trends and new developments.REQUIREMENTS:Education:Master's Degree Behaviorial Health Specialty, PhD preferredCertification/License:* Valid Behavorial Health License: MFT; LCSW; PsychologistExperience:* Knowledge of Medicare* Minimum five years clinical experience* Three years management experience in a Behaviorial Health care environment* Previous management experience in managed care operations* Experience with planning, leading and organizing the resources of a team is desired* Experience coaching, counseling and administering corrective action* Experience with QI conducting audits and monitory clinical quality.Knowledge, Skills & Abilities:* Broad knowledge base of health care delivery and case-care management within a managed care environment* Excellent written and verbal communication skills* Demonstrates ability to develop and manage projects* Demonstrates skills to identify problems, secure relevant information, develop alternative courses of action and make appropriate decisions based on logical assumptions reflective of factual information and sound reasoning * Skills to maintain effective working relationships with contacts which is required in the performance of required duties* Ability to operate PC based word processing* Ability to inter
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<tr><td valign="top" width="450"><b>Title: Manager Clinical Services, Behavioral Health - Duals ProgramLocation: United States-California-San RafaelOther Locations:Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable. The company provides health benefits to approximately 6.0 million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as "Part D"), Medicaid, Department of Defense, including TRICARE, and Veterans Affairs programs. Health Net's behavioral health services subsidiary, Managed Health Network, Inc., provides behavioral health, substance abuse and employee assistance programs to approximately 5.4 million individuals, including Health Net's own health plan members. The company's subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.For more information on Health Net, Inc., please visit the company's website atwww.healthnet.com.JOB SUMMARY:The Manager of Clinical Services assists Medical Management in providing consultation, education, and evaluation, and provides support to assigned region and assists in provision of standard policies, procedures and criterion for assuring quality service. Assists investigating unit regulatory deficiencies, and develops and implements a plan to correct any deficiencies.ESSENTIAL DUTIES AND RESPONSIBILITIES:* Supervision of clinical staff for all public sector business lines.* Interviews, recommends for hire, and evaluates staff; counsels and confronts unsatisfactory performance promptly and fairly and administers corrective action.* Identifies department goals and objectives, develops and communicates action plans through regular staff meetings and other communications, uses team approach to problem solving and sets clear expectations.* Identifies training needs and develops and participates in staff training. Provides a challenging and supportive environment and delegates appropriately. Seeks additional training opportunities through outside sources.* Conducts training sessions designed to update, improve, or upgrade knowledge and skills of others.* Provides evidence-based analysis of medical management practices.* Interfaces with Medical Management associates and management team related to identifying and prioritizing system modifications and process improvements.* Keeps current on industry trends and new developments.REQUIREMENTS:Education:Master's Degree Behaviorial Health Specialty, PhD preferredCertification/License:* Valid Behavorial Health License: MFT; LCSW; PsychologistExperience:* Knowledge of Medicare* Minimum five years clinical experience* Three years management experience in a Behaviorial Health care environment* Previous management experience in managed care operations* Experience with planning, leading and organizing the resources of a team is desired* Experience coaching, counseling and administering corrective action* Experience with QI conducting audits and monitory clinical quality.Knowledge, Skills & Abilities:* Broad knowledge base of health care delivery and case-care management within a managed care environment* Excellent written and verbal communication skills* Demonstrates ability to develop and manage projects* Demonstrates skills to identify problems, secure relevant information, develop alternative courses of action and make appropriate decisions based on logical assumptions reflective of factual information and sound reasoning * Skills to maintain effective working relationships with contacts which is required in the performance of required duties* Ability to operate PC based word processing* Ability to inter
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