Clinical Care Services Manager
2 weeks ago
We are seeking a highly skilled Clinical Care Services Manager to join our team at VetJobs. As a key member of our organization, you will be responsible for managing, supervising, and coordinating clinical and non-clinical management staff, including utilization management and intensive care management staff.
Key Responsibilities- Assist clinical management in the development and ongoing management of designated staff.
- Perform care management review activities consistent with Magellan policies, procedures, and standards.
- Conduct recruitment, interviewing, and selection of properly qualified staff members and ensure appropriate orientation is provided.
- Regularly monitor the performance of care management staff and monitor adherence to efficiency goals for all staff, including case volume, case closure rates, average handle time, and other metrics.
- Supervise care management staff through approved audit processes, including performing annual reviews, and provide counseling and disciplinary action as necessary.
- Coordinate quality improvement activities under the direction of clinical management.
- Assist management in the development of strategic and operational goals and plans.
- Assist management in the identification and coordination of necessary clinical and client service training needs.
- Analyze specific utilization problems, plan, and implement solutions that directly influence quality of care and cost efficiency.
- Supervise the collection of pertinent clinical information while maintaining a good rapport and relationship with providers.
- 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.
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.
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.
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