Clinical Care Manager- Licensed and Must Reside in California
4 weeks ago
- This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific.
- A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC)
- CEAP requirement does not apply to this role.
- 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 a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.
Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
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
Clinical Care Manager- Licensed and Must Reside in CaliforniaGrade
24Work Experience - Required
ClinicalWork Experience - Preferred
Education - Required
Associate - Nursing, Bachelor's - Social Work, Master's - Social WorkEducation - Preferred
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 MgmtLicense and Certifications - Preferred
Salary Range
Salary Minimum:
$58,440Salary Maximum:
$93,500This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
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.
-
San Diego, California, United States Magellan Health Full timeSalary for this role is $80,000K - 87,000K annually. This role is eligible for full Magellan Health benefits. This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC) CEAP requirement does not apply to this role. Under general...
-
San Diego, California, United States Magellan Health Full timeSalary for this role is $80,000K - 87,000K annually. This role is eligible for full Magellan Health benefits. This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC) CEAP requirement does not apply to this role. Under general...
-
San Diego, California, United States Body Fit Plus Inc Full timeBody Fit Plus is hiring for correctional facility in San Diego, CaliforniaJob Details: Licensed Clinical Social WorkerLocation : Correctional Facility in San Diego, CaliforniaPay Rate $87 to $95 Per Hour + Quarterly BonusSchedule : 6 to 9 months Full Time Contract Eligible for extensionRequirements: LCSW Licensed Clinical Social WorkerTwelve (12) continuous...
-
Resident Services Manager
2 weeks ago
San Diego, California, United States Sares Regis Operating Company, L.P. Full timeOverview: Rental Discount Available Sares Regis Group of Newport Beach, California, is a privately held real estate development, investment and management firm that focuses on commercial properties and multifamily communities in the western U.S. Since its founding in 1993, SRG has developed and acquired more than $7 billion in commercial and residential...
-
San Diego, California, United States State of California Full timeJob Posting: SUPERVISING CLINICAL LABORATORY TECHNOLOGIST, CORRECTIONAL FACILITY - Richard J. Donovan, CF (RJD)California Correctional Health Care ServicesMonthly Salary: $6, $8,650.00Final Filing Date: 6/10/2024Application Methods: Electronic (Using your CalCareer Account), By Mail, Drop-offJob Description and DutiesThe Supervising Clinical Laboratory...
-
San Diego, California, United States California Correctional Health Care Services Full timeJob Description and Duties The Supervising Clinical Laboratory Technologist, Correctional Facility is the supervisory level in this series and performs the most difficult technical work. Under general direction, is responsible in planning, developing, coordinating, and supervising the work of a large clinical laboratory for a State correction facility....
-
San Diego, California, United States Southern California Permanente Medical Group Full timePractice Details: The Kaiser Permanente – Southern California Permanente Medical Group (SCPMG) is seeking a fellowship-trained Behavioral Neurologist to join our expanding Cognitive and Behavioral Neurology Division in Southern California. This individual will provide tertiary care assessments and treatment for Cognitive Disorders and have the opportunity...
-
Licensed Clinical Psychologist
2 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeLicensed Clinical Psychologist (English/Spanish) 1666 Precision Park Ln, San Ysidro, CA 92173, USA Req #6278Wednesday, June 5, 2024*Location of position is determined upon interviewExperience with children ages 5-12 is highly desired P osition Summary:Under the direction of the Chief Behavioral Health Officer, the Licensed Clinical Social Worker is...
-
San Diego, California, United States Body Fit Plus Inc Full timeBody Fit Plus is hiring for correctional facility in San Diego, California. Job Details:LICENSED MARRIAGE AND FAMILY THERAPISTLocation : Correctional Facility in San Diego, California Pay Rate $68 to $75 Per Hour + Quarterly Bonus Schedule : 6 to 9 months Full Time Contract Eligible for extension Requirements: MFT Marriage and Family Therapist (MFT) - ISUDT...
-
Licensed Vocational Nurse
4 weeks ago
San Diego, California, United States Front Porch Communities and Services Full timePosition Title: Licensed Vocational Nurse Job ID: 2479 Community: Wesley Palms Location: US:CA:San Diego Category: Work Type: Full Time, Hourly, 36+ hours a week Date Posted: 3/12/2024 Salary: 38.00 USD per hour Description Wesley PalmsSummary:Under the direction of the Director of Nursing/Director of Health Services is responsible for supervising CNA's /...
-
Licensed Vocational Nurse
1 month ago
San Diego, California, United States Front Porch Communities and Services Full timePosition Title: Licensed Vocational Nurse Job ID: 2479 Community: Wesley Palms Location: US:CA:San Diego Category: Work Type: Full Time, Hourly, 36+ hours a week Date Posted: 3/12/2024 Salary: 38.00 USD per hour Description Wesley PalmsSummary:Under the direction of the Director of Nursing/Director of Health Services is responsible for supervising CNA's /...
-
Urgent Care Manager
2 weeks ago
San Diego, California, United States CRF Behavioral Healthcare Full timeHours: 40 hours per week. Monday Friday, 8:30 am 4:30 pmPay Rate: $43.27 to $48.08 per hourEducation: Masters in a mental health-related field, such as Psychology, Social Work and Counseling requiredLicensure: Licensed or licensed-eligible with the California Board of Behavioral Sciences (BBS) or Waivered Psychologist requiredBenefits: 19 days of PTO and 12...
-
San Diego, California, United States California Highway Patrol Full timeJob Description and Duties Operate radio consoles for four area offices, resident posts, scale facilities and Freeway Service Patrol; answer 9-1-1 cellular, allied agencies, and general public telephone lines using the Vesta telephone system; document information from the calls and/or officers in the field using a computer aided dispatch (CAD) system. ...
-
Resident Services Coordinator
2 weeks ago
San Diego, California, United States Sares Regis Operating Company L.p. Full timeOverview:Rental Discount AvailableSares Regis Group of Newport Beach, California, is a privately held real estate development, investment, and management firm that focuses on commercial properties and multifamily communities in the western U.S. Since its founding in 1993, SRG has developed and acquired more than $7 billion in commercial and residential...
-
San Diego, California, United States Southern California Permanente Medical Group Full timeAbout SCPMG:Competitive Compensation and Benefit PackageThe comprehensive benefits and longevity based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best – provide their patients with exceptional care. Medical/dental/vision coverage Supplemental medical coverage Special...
-
San Diego, California, United States Southern California Permanente Medical Group Full timeAbout SCPMG:Competitive Compensation and Benefit PackageThe comprehensive benefits and longevity based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best – provide their patients with exceptional care. Medical/dental/vision coverage Supplemental medical coverage Special...
-
San Diego, California, United States Southern California Permanente Medical Group Full timeAbout SCPMG:Competitive Compensation and Benefit PackageThe comprehensive benefits and longevity based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best – provide their patients with exceptional care. Medical/dental/vision coverage Supplemental medical coverage Special...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
San Diego, California, United States Blue Shield of California Full timeYour RoleThe clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. The CSC will interact telephonically with members as per established protocol or direction to...
-
Pre-Licensed Clinical Therapist
2 weeks ago
San Bernardino, California, United States San Bernardino County (CA) Full timeApply by May 31st to be considered for invitation to the Department of Behavioral Health's one-day Clinical Therapist Hiring Event on Thursday June 13th Receive conditional job offer same dayAre you a recent Master's graduate looking to be an agent of change and make a difference in delivering health and wellness to millions of residents?Join a team who is...
-
San Diego, California, United States University of Southern California Full timeClinical Trial Participant Recruitment CoordinatorApply \_REQ /apply) Keck School of Medicine San Diego, California Clinical Trial Participant Recruitment CoordinatorThe USC Keck School of Medicine - Alzheimer's Therapeutic Research Institute (ATRI), located in San Diego, California is an academic institute comprised of scientific collaborators committed to...
