Lead Care Manager - BH

San Diego CA 92108

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.


•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.
•Provides clinical, procedural or interpretation 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 front line Care Managers cannot resolve in a timely fashion.
•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 front line 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.

General Job Information

Title

Lead Care Manager - BH

Grade

25

Job Family

Clinical Services Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

6/7/2019

Date Requisition Created

5/29/2019

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, LPN - Licensed Practical Nurse - Care Mgmt

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • CA 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, LPCC, LMFT or as required by management.
  • 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. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

“I receive a high level of support from our Senior Management Team to execute on our vision. They are always accessible and approachable, something I’ve found to be very unique to Magellan.”