What are the responsibilities and job description for the Director, Care Management - Behavioral Health position at Trillium Community Health Plan?
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
The ideal candidate will live near Tigard, Portland, or Springfield, OR and have an understanding of Oregon Behavioral Health State infrastructure.
Position Purpose : Directs the care management team and the care coordination of members with mental / behavioral health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within behavioral health and mental health care management to improve member and / or provider experience.
- Leads care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards
- Leads process improvements for the care management team to achieve cost-effective healthcare results and presents to senior leadership team
- Directs and evaluates departmental operations, including the care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives
- Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care
- Develops care management strategies and influences decisions by providing recommendations that align to organizational objectives
- Develops department budget while collaborating inter-departmentally and with senior leadership
- Leads care management team on performance, improvement, and career growth path considerations
- Develops the overall strategy for onboarding, hiring, and training new care management team members to ensure adequate training and high-quality care to improve member and / or provider experience and ensure compliance
- Performs other duties as assigned
- Complies with all policies and standards
Education / Experience : Requires a Bachelor's degree and 7 years of related experience, including prior management experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License / Certification :
Pay Range : $119,100.00 - $220,500.00 per year
Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Salary : $119,100 - $220,500
