Clinical Program Manager, Managed Care

Uplift Family Services – Campbell, CA – competent service delivery. Functions as the liaison between team, payers, and community partners. Provides fiscal stewardship of team, acts as a bridge between fiscal and other departments. Ensures provision of high quality service by program staff. Essential Duties Clinical Care Management * Ensures effective quality clinical services delivery for assigned health plan members. Develops, interprets and ensures consistent implementation of clinical program philosophy, objectives, standards…, disciplines, and terminates. Leads and manages change. Proactively identifies potential conflicts and facilitate resolution External Liaison * Ensures effective coordination of services for health plan members with other providers, both internal and external, by supporting the development of constructive relationships and problem-solving barriers. Partners with health plans referring departments, agencies and the community to ensure comprehensive care. Provides outreach to the community regarding…

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