Manager, Clinical Care Services

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🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $83.9k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 $101M Private Equity Round on 2004-01

Consulting • Insurance • Healthcare

Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.

📋 Description

• Manage, directly supervise, and coordinate clinical and/or nonclinical management staff, including utilization management and intensive care management staff • Provide expertise in designated programs • Assist clinical management with development and ongoing management of designated staff • Perform care management review activities consistent with Magellan policies, procedures, and standards • Recruit, interview, and select qualified staff and ensure appropriate orientation • Monitor care management staff performance and adherence to efficiency goals, including case volume, case closure rates, average handle time, and other metrics • Supervise staff through approved audit processes, perform annual reviews, and provide counseling and disciplinary action as necessary • Coordinate quality improvement activities under clinical management direction • Assist with strategic and operational goals and plans • Identify and coordinate clinical and client service training needs • Analyze utilization problems and plan and implement solutions influencing quality of care and cost efficiency • Supervise collection of pertinent clinical information while maintaining provider relationships • Perform additional duties aligned with the intent of the role as assigned

🎯 Requirements

• 5 years post-degree experience in a direct care clinical setting • Managed care experience preferred • 1 year of direct supervisory experience required • One or more current, active licenses required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC, or RN • If RN, BSN preferred; ASN considered with additional experience • Thorough knowledge of physical, medical specialty, and/or mental health community resources and providers • Thorough knowledge of healthcare services in physical health, behavioral health, or another medical specialty area • Considerable skill interpreting clinical treatment information and making appropriate referral and triage decisions • Must meet Magellan credentialing criteria for RN, Masters, or Doctoral-level provider • Required education includes Associate in Nursing or Master's in Behavioral Health • Current licensure must meet state, Commonwealth, or customer-specific requirements • RN candidates must hold state and/or compact state licensure

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health, life, voluntary, and other benefits • Physical, mental, emotional, and financial wellbeing perks • Professional growth and development • Total health and wellness • Rewards and recognition • Employee unity • Tobacco-free workplace