Hcsc Clovis , NM 88101
Job ID: LEO-1027819 Description:
This position is responsible for oversight, directing, and supporting clinical operations in physician practices to review care planning and health care outcomes. Consult with physicians/vendors on health care outcomes including developing and analyzing reports. Monitor delegate vendor processes and recommend improvements. Serve as liaison between the practices, Network Management and Health Care Management.
Required Job Qualifications:
Bachelor degree OR clinical licensure (RN, LISW, LMSW, LPC, RD, etc.) with unrestricted, current clinical license in the state of operations.
3 years of experience in one or more of these fields: managed care operations, case management, customer quality of care in clinical settings, public or government health sponsored programs.
Leadership experience and skills.
Knowledge of medical terminology and procedures.
Knowledge of accrediting body requirements (i.e., - NCQA, EQRO).
Verbal, written and interpersonal communication skills.
Analytical skills and sound judgment.
PC proficiency to include Microsoft suite of applications.
Ability and willingness to travel including overnight stays.
Preferred Job Qualifications:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Expertise Government Programs Job Type Full-Time Regular Location NM - Portales, NM - Los Alamos, NM - Santa Rosa, NM - Clovis, NM - Santa Fe, NM - Tucumcari, NM - Socorro, NM - Ruidoso, NM - Las Vegas, NM - Carlsbad, NM - Grants, NM - Gallup, NM - Taos, NM - Fort Sumner, NM - Artesia, NM - Tatum, NM - Clayton, NM - Raton, NM - Lovington, NM - Silver City, NM - Truth or Consequences, NM - Roswell, NM - Albuquerque, NM - Las Cruces, NM - Hobbs, NM - Lordsburg, NM - Espanola, NM - Farmington, NM - Deming, NM - Vaughn, NM - Alamogordo, NM - Springer, NM - Hagerman