Associate Manager, Clinical Health Services – IL License Required

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Supervise the execution of healthcare management services for a designated functional area

• Ensure policies and procedures align with regulatory and accreditation standards, including NCQA, URAC, and relevant state and federal guidelines

• Apply and assess best-practice methods and innovations throughout the continuum of care

• Collaborate with key business sectors

• Oversee resources tasked with member identification, care-plan formulation, medical appropriateness, quality of care, as well as care monitoring, evaluation, and documentation

• May manage an individual caseload

• Act as a point of contact for customers and the Account Team, including during customer meetings and new-customer onboarding

• Evaluate developmental requirements and execute action plans to support high-performing teams

• Encourage teamwork, cross-product collaboration, and a focus on continuum-of-care

• Drive change initiatives as a model change agent

• Partner with licensed staff to oversee clinical personnel and licensed activities

• Guide the team on practice standards, intervention quality, problem-solving, and critical thinking

⛳️ Requirements

• Active and unrestricted Registered Nurse License (RN), Licensed Clinical Social Worker (LCSW), or Licensed Clinical Professional Counselor (LCPC) in Illinois

• Over 5 years of clinical experience

• At least 2 years of management or leadership experience

• Specialized knowledge and expertise related to the applicable license or certification

• Strong problem-solving and decision-making abilities

• Advanced understanding of medical terminology

• Exceptional collaboration and teamwork capabilities

• Strong growth mindset

• Proficient execution and delivery skills

• Capability to evaluate the relative costs and benefits of potential actions

• High digital literacy skills

• Associate's Degree (required)

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources supporting physical, emotional, and financial well-being

• CVS Health bonus, commission, or short-term incentive program in addition to base salary