Manager, Clinical Operations

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

📋 Description

• Direct regional clinical operations to ensure the delivery of high-quality care, effective transitions of care, excellent clinical outcomes, and member satisfaction.

• Supervise team performance, resource allocation, complex case assistance, and operational initiatives.

• Address escalated concerns from members, providers, and health plans.

• Provide clinical and administrative oversight to ensure compliance with regulatory, accreditation, contractual, and organizational standards.

• Track performance metrics and conduct audits.

• Initiate quality improvement initiatives and implement enhancements to processes.

• Lead, mentor, and cultivate a high-performing clinical team through training, communication, performance management, and professional development.

• Collaborate with health plans, providers, clients, and internal stakeholders to facilitate coordinated care and enhance client satisfaction.

• Accomplish Clinical Operations objectives.

• Support Lucet’s mission to enhance behavioral, physical, and social health.

⛳️ Requirements

• A current, active, and unrestricted license issued by a U.S. state or territory to practice independently with a legal scope that allows for independent assessments; including Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist, or Registered Nurse.

• For Registered Nurses, a Bachelor’s Degree in Nursing is mandatory.

• Over 5 years of post-licensure experience in direct behavioral health care, including experience in facility-based or managed care settings.

• A minimum of 3 years in a formal clinical supervisory role or proven leadership experience.

• Skilled in care management tools and models, including case review and audit processes.

• Knowledgeable in care management principles and their application in practice.

• A robust clinical knowledge base.

• Familiarity with regulatory and accreditation standards related to care management.

• Exceptional communication, collaboration, and problem-solving skills.

• Ability to understand medical policies and criteria and effectively communicate health information.

• Experience and training in Motivational Interviewing or Health Coaching.

• Proficient in computer and keyboarding skills, including Microsoft Office Suite, Outlook, and Word.

• Capable of documenting while simultaneously receiving information over the phone.

• Obtain certification in Case Management (CCM) within 3 years of directly overseeing the case management process, when applicable.

• Willingness to travel up to 10% of the time.

• Ability to pass a background check upon hiring and throughout employment.

• Capability to work from home in a quiet workspace with minimal background noise.

• High-speed internet must be installed prior to starting: minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds.

🏝️ Benefits

• Comprehensive health benefit options including medical, dental, and vision coverage.

• 401(k) plan with a competitive employer match.

• Company-funded life and disability insurance.

• Paid parental leave and wellness incentives.

• Generous paid time off policy, including time for volunteer work.

• Flexible spending accounts for healthcare and dependent care.

• Opportunities for professional development and tuition reimbursement.

• Flexibility to work remotely (depending on the role).

• Annual performance-based discretionary incentives.

• Equipment provided by the company.

• Opportunities for meaningful personal and professional growth.