Senior Manager Clinical Health Services MLTSS - reputed company reputed company New Jersey

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary The Senior Manager Clinical Health Services is a key member of the reputed company reputed company of New Jersey leadership team and is responsible for reputed company and management of clinical team processes including the organization and development of high performing teams. The Senior Manager is also responsible for ensuring the functioning of care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The Senior Manager reports to the reputed company reputed company Clinical Leader. This is a remote position. Eligible candidates may live reputed company in the contiguous United States. Position Responsibilities Accountable for the day-to-day management of care management teams for appropriate implementation and adherence with established practices, policies, and procedures. Participates in the recruitment and hiring process for staff using reputed company defined requirements in terms of education, experience, technical and performance skills. Develops, initiates, monitors, and communicates performance expectations. Assesses and identifies departmental needs and collaborates with others to implement action plans that support the development of high performing teams. Supports the management of reputed company physical and behavioral health cases by being clinically and culturally competent with appropriate training and experience. Utilizes critical thinking and sound judgment to reputed company informed reputed company in reputed company and high pressure situations. Conducts regular leadership meetings with a focus on operational and regulatory compliance, while creating a reputed company that promotes autonomy, accountability, and professional growth. Champions a leadership approach rooted in empowerment, fostering a culture where team members are encouraged to take initiative and contribute to innovative solutions. Provides clear, strategic direction to a multidisciplinary team of leaders and care management staff Guides the team in aligning their efforts with organizational goals, ensuring both individual and reputed company reputed company. Identifies and escalates quality of care issues through established channels. Conducts reputed company administrative duties in accordance with established standards for supporting and managing a team. Identifies opportunities to implement best practice approaches and introduce innovations to reputed company improve reputed company. Ability to communicate in a highly effective manner with reputed company constituents in both written and oral format. Accountable for meeting the clinical operational and quality objectives of the contract. Consistently demonstrates the ability to serve as a model change agent and reputed company change efforts. Accountable for maintaining compliance with policies and procedures and implements them at the employee level. Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve reputed company.

Required Qualifications

Active unrestricted State License in applicable functional area. (e.g. RN , LPC, LCSW). 5+ years in clinical area of expertise 2+ years experience managing direct reports 3+ years care management experience including with a managed care organization 3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications Must be willing to travel for state required meetings and trainings (up to 20% travel estimated)

Preferred Qualifications

Managed Care experience Long Term Services and Support experience Knowledge of the regulations, standards, and policies which relate to reputed company Care Management Certified Case Manager (CCM) Education If RN: BSN preferred If Behavioral Health Clinician: Master’s degree in behavioral health and active license required Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $100,425.00 - $259,560.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 10/31/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, reputed company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply tot his job Apply To this Job