Lead Care Manager at Magellan HRSC, Inc.
Posted in Nonprofit - Social Services 30+ days ago.
This job brought to you by eQuest
Location: San Diego, California
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.
- 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
- 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
- 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
TitleLead Care Manager
Job FamilyCare Management
CountryUnited States of America
FLSA StatusUnited States of America (Exempt)
Recruiting Start Date2/7/2018
Date Requisition Created2/7/2018
EducationMasters: Behavioral Health (Required), Masters: Counseling (Required), Masters: Social Work (Required)
License and Certifications - RequiredCEAP - 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
ResponsibilitiesLicensure 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.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled