Mgr, Clinical Care

Brooklyn NY 11201

Job Description

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.

General Job Information

Title

Mgr, Clinical Care

Grade

27

Job Family

Clinical Services Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

7/3/2019

Date Requisition Created

7/3/2019

Work Experience

Clinical, Supervisory

Education

GED, High School

License and Certifications - Required

BCBA - 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, 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 Mgmt

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Minimum Requirements:Education: ?BA/BS.Field of Study:? Nursing.Experience:? 5-8 years.Industry:? Knowledge of healthcare industry required, Utilization Management experience preferred.Exceptional communication and interpersonal skills, including presentation skills.Excellent organizational skills.Job Specific:? Minimum experience of 5-8 years in a clinical or healthcare industry setting.Experience with automated databases and standard PC business software application preferred.Supervisory experience required.Experience interfacing with account management and client teams preferred.An equivalent combination of experience and education is acceptable.Education and/or experiences may run concurrent.Computer Skills:? Computer, keyboard, mouse, and all automated office equipment such as, but not limited to, facsimile machines and copiers.Licenses, Certifications, etc.:? Registered Nurse.

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.”