About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Clinical Director, Health Plan Operations RN
Qualifications:
Required:
- Bachelor's Degree in Nursing, health care or business-related field
- Valid RN License in state doing business in
- Ten (10) years' experience in a progressively more responsible leadership role in managed care leading utilization, case and/or quality management with demonstrated experience involving clinical and quality analysis and direct interaction with health care providers with at least fou r(4) years' experience in a management role with direct reports, leading or assisting in all phases of effective supervisions (i.e.. recruitment, performance management, training)
- Three (3) years' clinical experience in a licensed field
- May require weekend supervision for staff
Preferred:
- Professional certification in related areas (i.e. Case Management, HEDIS)
- Fifteen (15) years' experience and knowledge of Managed Care functions (e.g. medical delivery, regulatory compliance, HEDIS, NCQA)
- Affiliation with a Professional Organization
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
