Director of Care Management

March 18

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

💵 $99.4k - $214.1k / year

⏰ Full Time

🔴 Lead

👔 Director

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CVS Health

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CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Oversees the implementation and on-going execution of the strategic and operational business plan for clinical operations. • Coordinates policies and procedures in support of financial, operational and service requirements. • Implements care management/care coordination services provided to plan populations to meet Florida regulatory requirements. • Responsible for cross-functional integration of care coordination and case management, program operations with core organization-wide business functions. • Supports quality improvement projects through successful implementation. • Collaborates and partners with other business areas to ensure all workflow processes and interdependencies are identified and addressed. • Promotes a clear vision aligned with company values and direction.

🎯 Requirements

• Florida resident • Active unrestricted Florida licensure in one of the following clinical areas: RN or LCSW, LMFT, LPC, LMHC • 5-7 years of clinical practice experience in physical or behavioral healthcare • 3-5 years of management or clinical leadership in managed care • Managed care experience, specifically Medicaid • Care management experience • 3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications. • Care management certification (preferred) • Transition of care experience (preferred) • Pediatric experience (preferred) • Community Health Worker program experience (preferred) • Ability to confidently interact at the executive level, within the c-suite (preferred)

🏖️ Benefits

• Affordable medical plan options, • 401(k) plan (including matching company contributions), • Employee stock purchase plan. • Wellness screenings, • Tobacco cessation and weight management programs, • Confidential counseling and financial coaching. • Paid time off, • Flexible work schedules, • Family leave, • Dependent care resources, • Colleague assistance programs, • Tuition assistance, • Retiree medical access.