Job Information
Corewell Health Manager Clinical Behavioral Health in Grand Rapids, Michigan
Job Summary
The Clinical Manager provides clinical and operational management over all behavioral health programming and services delivered to the organization's membership or patients. Through development and oversight of clinical programs and direct management of staff, this position ensures timely, efficient and successful delivery of behavioral health services to the organization's membership or patients in conjunction with company-wide initiatives policy.
Essential Functions
Provides operational management over the Behavioral Health Outpatient Prior Authorization program, Utilization Management, Outpatient Case Management program, Emergency Services program or Behavioral Health Ambulatory Care Management Program including people, program administration and service delivery. Includes ensuring adequate staff allocation and assignment.
Develop project/program resourcing strategies, allocating budget, staff, tools and internal support necessary for cost-effective implementation.
Works with Director on clinical program development, key tactics, outcomes/metric measurements and department strategies that improve health, reduce costs, create profitable growth and meet department/organizational goals and objectives.
Plan and direct all Quality, UM and Clinical regulatory functions of the Behavioral Health department in order to maintain regulatory and accreditation compliance.
Ensures staff compliance to operational policies and procedures as well as regulatory processes, as evidenced by routine internal audit results.
Serves as Behavioral Health representative/expert on designated external work teams, community and provider partnerships, outreach events and projects.
Provides leadership, coaching and mentoring to direct reports including direct oversight of quality review and clinical operations, as well as routine audits of staff performance related to concurrent review, discharge planning and prior authorization.
Assists Director with budget preparation and monitoring, operates effectively within defined budget parameters.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Qualifications
Required
Master's Degree in a human service field.
License - Master Social Worker (MSW) from the State of Michigan upon hire
5 years of relevant experience in the health care regulations and accreditation arenas
5 years of relevant experience in a psychiatric or substance abuse treatment setting
5 years of relevant experience in direct management of staff
Preferred
7 years of relevant experience in direct management of staff
10 years of relevant experience in a psychiatric of substance abuse treatment setting
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
Primary Location
SITE - Priority Health - 1231 E Beltline - Grand Rapids
Department Name
PH - Behavioral Health
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8:00 a.m. to 5:00 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.