Manager, Clinical Services

POSITION SUMMARY

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.

ESSENTIAL FUNCTIONS:

• 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. 

• .Other duties as assigned.

EDUCATION:

• Bachelor’s Degree in Nursing required
• Registered Nurse or Physician Assistant license required.

EXPERIENCE & SKILLS:

• 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.

POSITION COMPETENCIES:

• Accountability 
• Communication 
• Action Oriented  
• Timely Decision Making 
• Building Relationships/Shaping Culture 
• Customer Focus 

PHYSICAL DEMANDS

• This is a standard desk role – long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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Important Notice About Our Hiring Process

To keep your experience safe and transparent, please note:

• All interviews are conducted via video.
• No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager.

If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process.

For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems

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Qualifications