[Remote] Population Health Operations (PHO) Clinical Oversight Clinician

Note: The job is a remote job and is open to candidates in USA. 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 managing care management services for complex member populations, utilizing data informatics to promote health prevention and education.

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

Skills

• 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
• At least one (1) year of clinical policy review, conducting audits, or quality improvement review experience

Benefits

• A collaborative, mission-driven work environment
• Competitive benefits and work-from-home options for most positions
• Opportunities for professional growth in a diverse inclusive culture
• Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
• Work-from-home options available for most positions
• 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

Company Overview