Company

Magellan Health, Inc.See more

addressAddressAlbuquerque, NM
type Form of workFull-Time
CategoryInformation Technology

Job description

Provides leadership and subject matter expertise in Care Coordination, clinical program concepts, methods, and activities for unlicensed teams. Builds successful relationships with behavioral health providers, physical health partners, community services and agencies.

  • Manage team members` performance through the review of qualitative and quantitative performance results on a regular and ongoing basis. Provide constructive feedback and set improvement milestones when indicated.
  • Regularly assess the clinical performance of staff via documentation audits, live service observations and other performance management tools.
  • Set clear performance expectations with team and communicate how performance goals are linked to organizational goals and values.
  • Motivate and encourage team members to excel. Create a team environment that contributes to a high degree of employee satisfaction.
  • Monitor individual team member reliability patterns and take corrective steps when indicated. Utilize the workforce management system to monitor schedule adherence and other work habits.
  • Recruit, interview, and select qualified clinical and nonclinical team members, take corrective action for team members who do not meet expectations.
  • Lead the clinical team in monitoring and managing Care Coordination for those members meeting level II or level III behavioral health needs. Oversee program functions such as timeliness of followup from the Health Reimbursement Agreement (HRA).
  • Completion and timeliness of the comprehensive needs assessment and the development and implementation of the treatment plan, including collaboration and sharing information with providers as needed for joint treatment planning and for transitions in care.
  • Use of reporting to monitor the TAT and completion of duties to meet the contractual requirements.
  • Ensures appropriate clinical supervision and case consultation for clinical staff.
  • Assists, on an as needed basis, in response to peak work periods.
  • Responsible for reviewing, analyzing, and producing reports to customer within timelines to meet monthly and/or quarterly reporting expectations
  • Leading scorecard initiatives that will improve department outcomes within the department and organization.
  • Responsible for process improvement and identifying ways to improve quality outcomes within department.
  • Other duties as assigned.

Other Job Requirements
Responsibilities
Associates level degree in mental health or related field.
8+ years post degree experience in a behavioral healthcare setting.
Ability to function independently and as a team member, analyze specific utilization problems, plan and implement Care Coordination solutions while maintaining a good rapport and relationship with mental health and substance abuse providers.
Considerable skill in interpreting clinical records and treatment information.
Working knowledge Microsoft Office Suite.
General Job Information
Title
Manager, Care Coordination
Grade
26
Work Experience - Required
Clinical, Supervisory
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Associate
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
Salary Range
Salary Minimum:
$70,715
Salary Maximum:
$113,145
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.
Refer code: 7760854. Magellan Health, Inc. - The previous day - 2024-01-07 20:02

Magellan Health, Inc.

Albuquerque, NM

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