Manager, Clinical Services

Allied Benefit Systems•Chicago, IL

13h•$100,000 - $115,000•Remote

About The Position

The Clinical Services Manager provides leadership and oversight to a multidisciplinary team of clinicians—including nurses, pharmacists, nutritionists, and other licensed professionals—responsible for conducting case evaluations, identifying opportunities to engage members in improving their health, and submitting referrals to appropriate programs. This role ensures operational excellence, compliance, and continuous improvement in clinical workflows. The supervisor will leverage clinical expertise and analytical skills to review documentation, interpret medical records, understand health plan benefits, and support product implementation initiatives.

Requirements

Bachelor’s Degree in Nursing required
Registered Nurse or Physician Assistant license required.
A minimum of 7 years of Clinical Experience preferred.
A minimum of 1 year of Managed Care/Discharge Planning preferred
Nursing and concurrent review
Experience, preferably from a third-party administrator, carrier, or within the healthcare industry.
Experience managing teams of employees with a variety of background and tenure.
Ability to monitor and prioritize multiple deadlines and projects simultaneously.
Experience reading, analyzing, and reviewing organizational metrics and data, preferred.
Highly skilled in written and verbal communication, also including client focused presentations.

Responsibilities

Supervise and mentor a team of clinicians, ensuring adherence to clinical standards, documentation requirements, and organizational policies.
Oversee case evaluation processes to identify gaps in care, opportunities for member engagement, and appropriate program referrals.
Provide coaching, performance evaluations, and ongoing professional development opportunities.
Monitor productivity, quality, and engagement metrics; implement corrective actions as needed.
Analyze clinical and operational data to identify trends, gaps, and improvement opportunities.
Prepare and present reports on team performance, member outcomes, and program effectiveness to leadership.
Collaborate with internal leadership stakeholders to provide clinical recommendations and best practices in the development and seamless integration of new products and services.
Participate in cross-functional initiatives to enhance member experience and health outcomes
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
Actively engage, coach, counsel and provide timely, and constructive performance feedback.
Other duties as assigned.