Manager, Clinical Care Services - Reside/Licensed In Ca - Remote

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.

• Coordinates quality improvement activities under the direction of clinical management.
• Assists clinical management in the development and on-going management of designated staff.
• Assists management in the identification and coordination of the necessary clinical and client service training needs.
• 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.
• Performs care management review activities consistent with Magellan policies, procedures, and standards.
• Supervises the collection of pertinent clinical information while maintaining a good rapport and relationship with providers.
• Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided.
• Analyzes specific utilization problems, plans and implements solutions that directly influence quality of care and cost efficiency.
• Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary.
• Assists management in the development of strategic and operational goals and plans.

5 years post degree experience in a direct care clinical setting; managed care experience preferred.
One or more of the following current, active licenses are 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. Manager, Clinical Care Services - Reside/Licensed in CA - Remote 27 Clinical Associates - Nursing, Masters - Behavioral Health Bachelors - Nursing 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, LMHC - Licensed Mental Health Counselor - 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 $77,785 $124,455