Senior Clinical Care Navigator

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $101M Private Equity Round - Magellan Health Services on 2004-01

Healthcare • Healthcare Insurance

Magellan Health is a healthcare organization focused on behavioral health and care-management services. The company provides clinical care managers, military and family life counselors, and behavioral health services across regional programs (e. g. , Magellan Hawai‘i, Magellan of New Mexico), and supports treatment coordination for mental health and substance abuse conditions. It also offers programs that support military families and other institutional clients, indicating work in managed behavioral health and care coordination.

📋 Description

• Under supervision of clinical leadership, the navigator is a phone queue based role responsible for answering calls from Magellan members, individual providers, facilities, and customer representatives. • May provide utilization management review and authorization of behavioral health and substance use disorder services ranging from outpatient counseling to inpatient levels of care. • May assist with connection to Employee Assistance Program (EAP) services including counseling, coaching, Critical Incident Response and Workplace Support Services (WPS). • Responsible for triaging calls, determining level of risk, managing crisis calls, and assessing members for all types of risk following Magellan's established crisis call protocols. • Navigator will be assigned additional responsibilities based on experience, including training and mentoring newly hired navigators.

🎯 Requirements

• Full clinical licensure with master's degree in social work, counseling, or similar area; License must be active in state employee works/lives. • Minimum of 5 years' experience post-licensure in healthcare, behavioral health, social work, psychiatric and/or substance use disorder setting. • Strong organization, time management, and communication skills. • Registered Nurse (RN) licensure acceptable for existing staff; all new hires will need to be master's level licensed clinicians. • CEAP certification as required by management. • Knowledge of utilization management procedures, mental health, and substance abuse community resources and providers. • Knowledge of and experience in inpatient setting. • Knowledge of DSW V or most current diagnostic edition. • Ability to analyze specific utilization problems and plan and implement solutions that directly influence quality of care. • Strong computer skills to utilize and navigate various systems.

🏖️ Benefits

• Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.