Population Health Operations Clinical Oversight Clinician

Role Overview

• Developing policies, procedures, practices, and systems that support the provision of care management services
• Demonstrating clinical expertise for specific complex and/or rising risk member populations
• Identifying members that are appropriate for population health programs utilizing data informatics
• Providing interventions and education to promote health prevention and promotion
• Managing, reviewing, and analyzing operations and services provided for adherence to program goals and objectives
• Collaborating with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations
• Serving as a subject matter expert regarding identified special populations, regulatory requirements, policies, procedures, programs and staff support; provide staff education and training on relevant program components
• Overseeing utilization of resources used by specialty population

Requirements

• Master’s degree in a health or human services field
• 1 year of experience providing care to complex individuals with Behavioral Health conditions
• Fully licensed by the state of North Carolina as an LCSW, LCMHC, LPA, LMFT, LCAS or RN
• Must have a valid driver’s license
• Must reside within North Carolina
• Must be able to travel within catchment as required
• At least 1 year of clinical policy review, conducting audits, or quality improvement review experience (preferred)

Benefits

• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• NC Local Government Retirement Pension (defined-benefit plan)
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies