Mgr, Clinical Care Services

1 week ago

Albuquerque, United States Magellan Health Full time

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.


Other Job Requirements

Responsibilities
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.

General Job Information

Title
Mgr, Clinical Care Services

Grade
27

Work Experience - Required
Clinical

Work Experience - Preferred

Education - Required
Associate - Nursing, Master's - Behavioral Health

Education - Preferred
Bachelor's - Nursing

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, 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

License and Certifications - Preferred

Salary Range

Salary Minimum:
$77,785
Salary Maximum:
$124,455

This 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.

  • Sr Business Mgr

    1 week ago

    Albuquerque, New Mexico, United States University of New Mexico Full time

    Sr Business Mgr Requisition ID req29748 Working Title Sr Business Mgr Position Grade 14 Position Summary Oversees the various business operations of the Center for Advanced Research Computing. Manages and coordinates such functions as budget preparation and administration, fiscal and business planning, resources management, contract/grant administration, and...

  • Unblinded Clinical Research Coordinator I

    2 weeks ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionUnblinded Clinical Research Coordinator IDM Clinical Research is looking to hire an Unblinded Clinical Research Coordinator to join our team. This individual will be responsible for dispensing Investigational Products (IP) as part of clinical research trials.Duties & Responsibilities:Compound and dispense prescribed IP.    ...

  • Unblinded Clinical Research Coordinator I

    1 month ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionUnblinded Clinical Research Coordinator IDM Clinical Research is looking to hire an Unblinded Clinical Research Coordinator to join our team. This individual will be responsible for dispensing Investigational Products (IP) as part of clinical research trials.Duties & Responsibilities:Compound and dispense prescribed IP.    ...

  • Unblinded Clinical Research Coordinator I

    2 months ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionUnblinded Clinical Research Coordinator IDM Clinical Research is looking to hire an Unblinded Clinical Research Coordinator to join our team. This individual will be responsible for dispensing Investigational Products (IP) as part of clinical research trials.Duties & Responsibilities:Compound and dispense prescribed IP.    ...

  • Unblinded Clinical Research Coordinator I

    4 days ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionUnblinded Clinical Research Coordinator IDM Clinical Research is looking to hire an Unblinded Clinical Research Coordinator to join our team. This individual will be responsible for dispensing Investigational Products (IP) as part of clinical research trials.Duties & Responsibilities:Compound and dispense prescribed IP.    ...

  • Unblinded Clinical Research Coordinator II

    4 weeks ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionUnblinded Clinical Research Coordinator IIUnblinded Clinical Research Coordinator II will be responsible for dispensing Investigational Products (IP) as part of clinical research trials.DUTIES & RESPONSIBILITIESCompound and dispense prescribed IP as needed by Sponsor approved protocolStudy IP managementProvide training and...

  • Clinical Research Coordinator III

    2 weeks ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionClinical Research Coordinator IIIA CRC III will ensure that quality research is conducted at assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines and to provide the best quality data to the sponsor. To ensure study enrollment meets or exceeds Sponsors' expectations. To...

  • Clinical Research Coordinator III

    4 days ago

    Albuquerque, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionClinical Research Coordinator IIIA CRC III will ensure that quality research is conducted at assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines and to provide the best quality data to the sponsor. To ensure study enrollment meets or exceeds Sponsors' expectations. To...

  • Director of Clinical Services

    2 months ago

    Albuquerque, United States Frontline Source Group Full time

    Our client in the Albuquerque, New Mexico area is seeking a Director of Clinical Services on a direct hire basis. Company Profile: Successful and growing company in the Healthcare industry! Director of Clinical Services Role: In this role, you will oversee the clinical operations, ensure compliance with regulatory requirements, and maintain exceptional...

  • Director of Clinical Services

    3 weeks ago

    Albuquerque, United States Frontline Source Group Full time

    Our client in the Albuquerque, New Mexico area is seeking a Director of Clinical Services on a direct hire basis.Company Profile:Successful and growing company in the Healthcare industry!Director of Clinical Services Role:In this role, you will oversee the clinical operations, ensure compliance with regulatory requirements, and maintain exceptional standards...

  • Director of Clinical Services

    2 months ago

    Albuquerque, United States Frontline Source Group Full time

    Our client in the Albuquerque, New Mexico area is seeking a Director of Clinical Services on a direct hire basis.Company Profile:Successful and growing company in the Healthcare industry!Director of Clinical Services Role:In this role, you will oversee the clinical operations, ensure compliance with regulatory requirements, and maintain exceptional standards...

  • Director of Clinical Services

    2 months ago

    Albuquerque, United States Frontline Source Group Full time

    Our client in the Albuquerque, New Mexico area is seeking a Director of Clinical Services on a direct hire basis.Company Profile:Successful and growing company in the Healthcare industry!Director of Clinical Services Role:In this role, you will oversee the clinical operations, ensure compliance with regulatory requirements, and maintain exceptional standards...

  • Director of Clinical Services

    3 weeks ago

    Albuquerque, United States Frontline Source Group Full time

    Our client in the Albuquerque, New Mexico area is seeking a Director of Clinical Services on a direct hire basis.Company Profile:Successful and growing company in the Healthcare industry!Director of Clinical Services Role:In this role, you will oversee the clinical operations, ensure compliance with regulatory requirements, and maintain exceptional standards...

  • Clinic Manager

    4 weeks ago

    Albuquerque, United States Presbyterian Healthcare Services Full time

    Overview Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges...

  • Clinic Manager

    2 weeks ago

    Albuquerque, United States Presbyterian Healthcare Services Full time

    Overview Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges...

  • RN - Clinical Educator - Home Health Care

    4 weeks ago

    Albuquerque, United States Presbyterian Healthcare Services Full time

    Home Health Care is currently hiring a Nurse Clinical Educator to join our Clinical Education team! The RN Educator serves as consultant, researcher, instructional and evaluation designer, clinical practice expert, and interprofessional collaborator Clinical, RN, Educator, Health, Clinic, Home

  • Medical Assistant Primary Care

    3 weeks ago

    Albuquerque, United States Duke City Urgent Care Full time

    Job DescriptionJob DescriptionSalary: $16 - 20 per hourAre you a passionate and motivated Medical Assistant looking to join a forward-thinking and progressive healthcare team? Duke City Primary Care is looking for an exceptional Medical Assistant to provide and assist the clinic supervisor and the entire clinical team in the care of patients of all...

  • Director of Clinical Services

    4 weeks ago

    Albuquerque, United States Jet Health Full time

    Job DescriptionJob DescriptionDescription:Klarus Home Health is seeking a Director of Clinical Services to join our team. The Director of Clinical Services is a licensed physician, physical therapist, speech-language pathologist, occupational therapist, social worker, or a registered nurse who provides oversight of all patient care services and personnel...

  • Director of Clinical Services

    3 weeks ago

    Albuquerque, United States Jet Health Full time

    Job DescriptionJob DescriptionDescription:Klarus Home Health is seeking a Director of Clinical Services to join our team. The Director of Clinical Services is a licensed physician, physical therapist, speech-language pathologist, occupational therapist, social worker, or a registered nurse who provides oversight of all patient care services and personnel...

  • CISC Clinical Auditor

    3 weeks ago

    Albuquerque, United States Magellan Health Services Full time

    Must be a resident of NM. Conducts reviews of clinical interactions and clinical documentation including reviews of case management records. Provides clinical reviews of CISC files to ensure clinical team is addressing all contractual needs of the program in the appropriate assessments. Provides feedback to the clinical teams on contractual compliance and...