Clinical Manager

Jobtailor; Kentucky; On-site; USD 65,000 - 90,000; Full time

Job summary

CareStar, Inc. in Kentucky seeks a senior coordinator to oversee high-risk cases, support quality improvement, and ensure staff development within a home and community-based services environment.

The role requires active licensure (LSW/LISW or RN), a relevant Bachelor’s degree, and CCM certification within a year. Expect supervision of clinical staff and collaboration with multiple teams to meet state performance standards.

Qualifications

• Current/active license as a LSW, LISW, or RN.
• Bachelor’s degree in business or health-related field preferred.
• CCM certification within one year of hire.
• 36+ months in home and community-based services.

Responsibilities

• Oversee high-risk cases and advise administration.
• Participate in quality improvement activities and committees.
• Monitor adherence to program and state standards; address problems.
• Assist with staff training and development.
• Engage in public relations and provider education.
• Address consumer and agency concerns/complaints.
• Ensure services are billed properly; coordinate with Finance.
• Supervise staff, conduct evaluations, and set development goals.
• Orient new clinical staff and supervisors.

Skills

License in social work or nursing

Staff supervision

Data analysis & trends

Interpersonal skills

Resource coordination

Education

Bachelor’s degree in business or health-related field

Job description

Responsibilities

• Oversees high-risk situations or problematic cases; advises administration as appropriate
• Participates in quality improvement activities including, but not limited to, Quality Improvement Committee Meetings, project teams, and monitoring productivity and tasks
• Monitor clinical employees adherence to CareStar, program, and State performance standards and follow-up with individual or systemic problems as needed
• Assists with agency educational training and staff development
• Participates in public relations activities and provider education
• Addresses consumer and agency concerns/complaints
• Responsible for ensuring that all services are submitted to Finance for billing
• Attends all program, community, and State meetings and training sessions as requested
• Directly supervises, manages and oversees staff, including hiring, firing and providing performance evaluations, salary recommendations and individual development goals and objectives
• Ensures new clinical employees and Clinical Supervisors receive the appropriate orientation
• Adheres to the CareStar Rule in performance of job responsibilities
• Understands and complies with CareStar Policies and Procedures
• Maintains confidentiality as related to patient information
• Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense
• Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.

Requirements

• Current/active license as a Licensed Social Worker, Licensed Independent Social Worker or Registered Nurse
• Bachelor’s Degree in business or a health-related field preferred
• Must obtain their Certified Case Manager (CCM) within one year of being in the position
• At least 36 months of experience in a home and community-based services environment
• 24 months of experience in data analysis, data trending, accounting or financial analysis desirable
• Ability to supervise, instruct, counsel and evaluate staff
• Extensive knowledge of community resources
• Effective interpersonal skills with respect for others, including consumers, coworkers and other professionals within a diverse work environment