Clinical Manager, Behavioral Health (UM) -Licensed, Remote in Idaho

Responsibilities

  • 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.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Qualifications

  • 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 is required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC or 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.
  • Education - Required: Associate - Nursing; Master\'s - Behavioral Health
  • Education - Preferred: Bachelor\'s - Nursing
  • Work Experience - Required: Clinical, Supervisory
  • License And Certifications - Required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC, RN (as applicable by state)

General Information

  • Title: Clinical Manager, Behavioral Health (UM) -Licensed, Remote in Idaho
  • Grade: 27
  • Salary Range: Salary Minimum $77,785; Salary Maximum $124,455

This information reflects base salary ranges and may vary by location. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package.

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

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

#J-18808-Ljbffr Salary: USD 77785 - 124455 per year
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