Regional Clinical Manager – RN or BH

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

📋 Description

• Manage a regional care management team comprising both remote and field-based personnel.

• Foster high performance, accountability, and operational excellence within the team.

• Meet health plan objectives and contractual obligations.

• Direct person-centered care management services for Kentucky SKY members, such as youth in foster care and juvenile justice, children receiving adoption assistance, and members with intricate behavioral health needs.

• Collaborate with providers, community partners, and interdisciplinary care teams to guarantee that members and families receive suitable care and assistance.

• Supervise quality and compliance initiatives.

• Track key performance indicators.

• Relay team performance and opportunities for improvement to leadership.

• Conduct supervisory visits and meetings with state partners, requiring regional travel.

⛳️ Requirements

• Active, unrestricted clinical license in Kentucky in the relevant discipline (e.g., RN, LPCC, LCSW).

• 5–7 years of experience in the clinical field of expertise.

• At least 2 years of experience overseeing direct reports.

• Strong background in performance management, including coaching, developing, and holding team members accountable for quality, productivity, and outcome standards.

• Proven experience and/or extensive 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.

• Proficient in utilizing data and performance metrics to enhance operational processes, fulfill contractual obligations, and improve member outcomes.

• Experience in building collaborative relationships with providers, state agencies, community organizations, and interdisciplinary care teams.

• If in Behavioral Health: Master's degree in a field that leads to independent Behavioral Health licensure.

• If a Registered Nurse: Master's degree or equivalent experience; MSN is preferred.

• For the RN educational alternative: an associate’s degree plus 4 additional years of experience, or a bachelor’s degree plus 2 additional years of experience.

• Preferred: demonstrated experience in change management.

• Preferred: strong problem-solving and critical-thinking abilities.

• Preferred: exceptional collaboration and relationship-building skills.

🏝️ Benefits

• CVS Health bonus, commission or short-term incentive program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting the physical, emotional, and financial well-being of colleagues and their families.