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Trillium Health Resources · 1 day ago

Population Health Operations (PHO) Clinical Oversight Clinician

United States

Full-time

Remote

Entry, Mid Level

$64K/yr - $79K/yr

1+ years exp

Trillium Health Resources is a Tailored Plan and Managed Care Organization serving 46 counties across North Carolina. They are seeking a Population Health Operations (PHO) Clinical Oversight Clinician responsible for developing policies and procedures to support care management services and demonstrating clinical expertise for complex member populations.

Child CareHealth CareMental HealthNon Profit

Responsibilities

Develop, review and evaluate operating policies, practices and procedures with department-wide impact and provide critical feedback on outcomes to enhance effectiveness

Manage, review, and analyze operations and services provided for adherence to program goals and objectives utilizing databases, dashboards, performance outcome data and reports. Recommend changes based on analyses

Collaborate with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations

Serve 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

Oversee utilization of resources used by specialty population e.g. coordination of secure transportation requests for special populations

Qualification

LCSWLCMHCBehavioral Health experienceClinical policy reviewMaster's degreeQuality improvement review

Required

Master's degree in a health or human services field and one (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