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Manager, Clinical Care Services - Remote New Mexico

Company: Magellan Health
Location: Albuquerque
Posted on: October 18, 2020

Job Description:

Candidates must be located in New Mexico and must have an independent-level Behavioral Health license (LISW if prior to 9/1/2014, LCSW, LMFT, LPCC) or an RN license (Behavioral Health experience strongly preferred) in the state of New Mexico

Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs.

  • Assists clinical management in the development and on-going management of designated staff.
  • Performs care management review activities consistent with Magellan policies, procedures, and standards.
  • Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided.
  • Regularly monitors the performance of care management staff.-- Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics.
  • Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary.
  • Coordinates quality improvement activities under the direction of clinical management.
  • Assists management in the development of strategic and operational goals and plans.
  • Assists management in the identification and coordination of the necessary clinical and client service training needs.
  • Analyzes specific utilization problems, plans and implements solutions that directly influence quality of care and cost efficiency.
  • Supervises the collection of pertinent clinical information while maintaining a good rapport and relationship with providers.Other Job RequirementsResponsibilities
    • 5 years post degree experience in a direct care clinical setting; managed care experience preferred.
    • 1 year direct supervisory experience required.--
    • One or more of the following current, active--licenses in the state of New Mexico are required:--LISW (if prior to 9/1/2014), LCSW, LMFT,--LPCC,--RN.
    • If RN, BSN preferred but 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 other medical specialty area based on pod management.
    • Considerable skill in interpreting clinical treatment information and making appropriate referral and triage decisions.----
    • Must meet Magellan's credentialing criteria for RN, Masters or Doctoral level provider.Bi/Multilingual.General Job InformationWork ExperienceClinical, SupervisoryEducationAssociates: Nursing (Required), Bachelors: Nursing, Masters: Behavioral Health (Required)License and Certifications - RequiredBCBA - Board Certified Behavior Analyst - Care Mgmt, Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, PC - Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredMagellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

Keywords: Magellan Health, Albuquerque , Manager, Clinical Care Services - Remote New Mexico, Executive , Albuquerque, New Mexico

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