141 Jobs Current Vacancy State Available In United States

Care Manager BH

Posted on:
05/28/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and subst. . .

Posted on:
05/28/2021
Apply Before:
06/25/2021

VP, Sales 1, PBM Mid-Market SE

Posted on:
05/28/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

Responsible for attaining sustainable sales growth through current and new customers for the Pharmacy Employer market in the assigned region. Oversees. . .

Posted on:
05/28/2021
Apply Before:
06/25/2021

Sr Product Innovation Manager

Posted on:
05/28/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

Designs, develops and manages assigned products and services. Responsibilities include, but are not limited to conceptualizing, translating market res. . .

Posted on:
05/28/2021
Apply Before:
06/25/2021

Senior Contracts Manager, Federal - Remote

Posted on:
05/27/2021

Magellan Health, Inc

Remote, United States

Responsible for day-to-day contract administration for U.S. Government contracts. This position is responsible for aspects of contract compliance, co. . .

Posted on:
05/27/2021
Apply Before:
06/24/2021

Compliance Officer, Federal - Remote Opportunity!

Posted on:
05/25/2021

Magellan Federal

Remote, United States

Responsible for implementing and overseeing the Compliance program for all Magellan federal contracts. Responsible for, among other things, developing. . .

Posted on:
05/25/2021
Apply Before:
06/24/2021

Senior Account Executive, Employer

Posted on:
05/25/2021

Magellan Federal

United States, United States Minor Outlying Islands, United States

Accountable for relationship building at multiple strategic customer touch points to include but not limited to day-to-day contacts, senior management. . .

Posted on:
05/25/2021
Apply Before:
06/24/2021

Account Manager II, Small/Mid-Market, Employer

Posted on:
05/19/2021

Magellan Federal

United States, United States Minor Outlying Islands, United States

Overall management of assigned book of business for the company's products and services in order to achieve profitable retention of accounts.Performs . . .

Posted on:
05/19/2021
Apply Before:
06/24/2021

Manager Underwriting

Posted on:
05/18/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

Responsible for leading end-to-end underwriting process (i.e., develop strategy, gathering inputs, analyzing data, P&L model, benchmarking, approval p. . .

Posted on:
05/18/2021
Apply Before:
06/24/2021

Account Manager I

Posted on:
05/28/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

Overall management of assigned book of business for the company’s products and services in order to achieve profitable retention of accounts.Support. . .

Posted on:
05/28/2021
Apply Before:
06/25/2021

Financial Analyst II

Posted on:
05/27/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

Primary responsibilities include analyzing costs, preparing financial reports and providing recommendations to leadership for lines of business accord. . .

Posted on:
05/27/2021
Apply Before:
06/24/2021

Senior Financial Analyst

Posted on:
05/27/2021

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States

This position requires significant financial analytical experience and demonstrated health care industry knowledge. Primary responsibilities include . . .

Posted on:
05/27/2021
Apply Before:
06/24/2021

Vendor Contracts Manager - Remote Opportunity!

Posted on:
05/27/2021

Magellan Federal

Remote, United States

This role is responsible to work collaboratively with internal business leaders to capture business requirements, provide market analysis, develop neg. . .

Posted on:
05/27/2021
Apply Before:
06/24/2021

Account Manager I

Posted on:
05/25/2021

Magellan Federal

United States, United States Minor Outlying Islands, United States

Overall management of assigned book of business for the company’s products and services in order to achieve profitable retention of accounts.·Suppo. . .

Posted on:
05/25/2021
Apply Before:
06/24/2021

Lead Software Engineer (BI/DW) - Remote

Posted on:
05/28/2021

Magellan Health, Inc

Remote, United States

Looking for BI and Datawarehouse specialist with Cognos 11 background as well as ETL Products like SSIS, Informatica and Snaplogic. Ideal candidate wo. . .

Posted on:
05/28/2021
Apply Before:
06/25/2021

Associate Medical Director, MRx - Part-Time (REMOTE)

Posted on:
05/28/2021

Magellan Health, Inc

Remote, United States

This position provides clinical leadership to the Magellan Rx Medical Affairs team.Provides clinical leadership to the Magellan Rx Medical Affairs tea. . .

Posted on:
05/28/2021
Apply Before:
06/25/2021

Care Manager BH

Magellan Health, Inc

United States, United States Minor Outlying Islands, United States Estimated Salary : $ 76,481 per year Apply Now
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Job Type: Full Time

Category: Support Services

Key Skills:

training Internship - <p>if You Make Hearts Beat Faster, Your Own Has To Be In The Right Place. Key Skills

  • Registered Nurse
  • ProVision
  • Data Collection
  • LPN
  • Certified Employee Assistance Professional
  • Oral Communication
  • Cpr Certified
  • Developmental Disabilities
  • Autonomy
  • Clinical Supervision

Apply Now   

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.

  • Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
  • Provides telephone triage, crisis intervention and emergency authorizations as assigned.
  • Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. 
  • In conjunction with providers and facilities, develops discharge plans and oversee their implementation. 
  • Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
  • Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
  • Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
  • Participates in quality improvement activities, including data collection, tracking, and analysis.
  • Maintains an active work load in accordance with National Care Manager performance standards. 
  • Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. 
  • Participates in network development including identification and recruitment of quality providers as needed. 
  • Advocates for the patient to ensure treatment needs are met.  Interacts with providers in a professional, respectful manner that facilitates the treatment process.

Other Job Requirements

Responsibilities

  • Licensure is required for this position, specifically current license as a Masters or Doctoral-level behavioral health practitioner that meets State, Commonwealth or customer-specific requirements.
  • Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
  • Licensure may also include one or more of the following: LCSW, LMFT or LPC.
  • Ability to meet Magellan credentialing requirements for independent professional practice IF performing TRF reviews (Masters level licensed behavioral health professional).
  • 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 and/or outpatient 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.

General Job Information

Title

Care Manager BH

Grade

23

Work Experience

Clinical

Education

Masters (Required)

License and Certifications - Required

CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

License and Certifications - Preferred

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.