Regional Clinical Manager – RN/BH
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Job Description
Regional Clinical Manager leading remote care teams serving Kentucky SKY members. Driving clinical quality, contractual outcomes, and community partnerships for CVS Health.
Responsibilities:
- Oversee a regional care management team of remote and field-based staff
- Drive high performance, accountability, and operational excellence
- Achieve health plan goals and contractual deliverables
- Lead person-centered care management services for Kentucky SKY members, including youth involved in foster care and juvenile justice, children receiving adoption assistance, and members with complex behavioral health needs
- Collaborate with providers, community partners, and interdisciplinary care teams
- Ensure members and families receive the right care and support at the right time
- Oversee quality and compliance activities
- Monitor key performance metrics
- Communicate team performance and improvement opportunities to leadership
- Conduct supervisory visits and meetings with state partners through regional travel
Requirements:
- Active, unrestricted Kentucky clinical license in the applicable discipline (e.g., RN, LPCC, LCSW)
- 5–7 years’ experience in clinical area of expertise
- 2+ years’ experience managing direct reports
- Strong performance management experience, including coaching, developing, and holding team members accountable to quality, productivity, and outcome expectations
- Demonstrated experience and/or comprehensive knowledge of the Foster Care and Juvenile Justice systems, Adoption Assistance, Behavioral Health services, Trauma-Informed Care principles, Adverse Childhood Experiences (ACEs), Crisis Intervention Services, and evidence-based practices relevant to serving Kentucky SKY members and their families
- Experience using data and performance metrics to drive operational improvements, achieve contractual deliverables, and improve member outcomes
- Experience building collaborative relationships with providers, state agencies, community organizations, and interdisciplinary care teams
- If Behavioral Health: Master's degree in a field leading to independent Behavioral Health licensure
- If Registered Nurse: Master's degree or equivalent experience; MSN preferred
- For an associate’s degree, 4 additional years of experience are needed under CVS Policy
- For a bachelor’s degree, 2 additional years of experience are required under CVS Policy
Benefits:
- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being, based on eligibility
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