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Lead Care Manager at Magellan HRSC, Inc.

Posted in Nonprofit - Social Services 16 days ago.

This job brought to you by eQuest

Type: Full-Time
Location: San Diego, California

Job Description:

Provides support to Care Managers and other clinical team members through content knowledge, technical and utilization management expertise. Researches open questions and unresolved issues for Care Managers who are providing direct utilization management services. Mentors new Care Managers and assists with training.

ESSENTIAL FUNCTIONS:
- Provides point of need support and coaching to Care Managers and other clinical team
members in the course of normal operations. Builds clinical team members expertise
through direct feedback and real-time coaching. Is available to provide clinical, procedural or
interpretational assistance.
- Mentors and trains Care Managers. Serves as a `buddy` to new Care Managers during their
first few months on the job by providing daily support and feedback. Researches and
resolves escalated issues that frontline Care Managers cannot resolve in a timely fashion.
As necessary, takes escalated calls or fills-in for the Care Manager team during high-peak
periods.
- Works with the workforce planning team to perform data collection and analysis of trends to
determine problem areas and strategies for better practices for the Care Manager team.
- Maintains an active workload in accordance with Care Manager performance standards.
Provides frontline functions during high volume and peak periods. Advocates for the patient
to ensure treatment needs are met. Interacts with providers in a professional, respectful
manner that facilitates the treatment process.

**Available for remote; must be licensed and reside in CA.

General Job Information

 

Title

Lead Care Manager

Grade

24

Job Family

Care Management

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

2/7/2018

Date Requisition Created

2/7/2018

Minimum Qualifications

Education

Masters: Behavioral Health (Required), Masters: Counseling (Required), Masters: Social Work (Required)

License and Certifications - Required

CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LPN - Licensed Practical Nurse - Care Mgmt

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.
Minimum of 6 years post-degree experience in psychiatric and substance abuse health care.
Minimum of 3 years post degree experience for Care Managers with Ph.D. Experience to include utilization review.
Licensure may also include one or more of the following: LCSW or LPC.
Strong organization, time management and communication skills.
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Knowledge and experience in inpatient setting.
Knowledge of DSM V or most current diagnostic edition.
Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

Competencies

Language(s)

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled



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