Regional Clinical Manager – RN/BH

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

📋 Description

• Supervise 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 fulfill contractual obligations.

• Lead person-centered care management services for Kentucky SKY members, including youth in foster care and juvenile justice, children receiving adoption assistance, and members with complex behavioral health requirements.

• Collaborate with healthcare providers, community partners, and interdisciplinary care teams.

• Ensure that members and their families receive appropriate care and support promptly.

• Oversee quality assurance and compliance initiatives.

• Track key performance indicators.

• Report team performance and areas for improvement to leadership.

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

⛳️ Requirements

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

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

• A minimum of 2 years of experience in managing direct reports.

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

• Demonstrated expertise 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 efficiency, meet 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 leading to independent Behavioral Health licensure.

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

• For an associate's degree, 4 additional years of experience are required under CVS Policy.

• For a bachelor’s degree, 2 additional years of experience are necessary under CVS Policy.

🏝️ Benefits

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

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness initiatives.

• Additional resources supporting physical, emotional, and financial well-being, contingent on eligibility.