Care Manager BH (Onsite, PA, Hollidaysburg)

Magellan Health Services
United States
Workplace: OnsiteFull timeUSD 64,285 - 102,855 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 2+ yearsEducation: mastersSkills: ["Organization","Time management","Communication"]

Oversee authorization and review of mental health and substance abuse utilization for inpatient and outpatient services, partnering with the clinical team to support medical necessity and effectiveness. Collect and analyze utilization data, provide telephone triage and crisis/emergency authorizations, assist with discharge planning and care coordination, and conduct concurrent reviews. Educate members and providers on benefits, resources, and criteria while working with Physician Advisors and participating in quality improvement and network development.

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Magellan Health Services
Magellan Health Services
1 month ago

Care Manager BH (Onsite, PA, Hollidaysburg)

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Source: Company careers pageValidated by: Fursa AI
Last checked: 2 days agoStatus: Live

Job Summary

Oversee authorization and review of mental health and substance abuse utilization for inpatient and outpatient services, partnering with the clinical team to support medical necessity and effectiveness. Collect and analyze utilization data, provide telephone triage and crisis/emergency authorizations, assist with discharge planning and care coordination, and conduct concurrent reviews. Educate members and providers on benefits, resources, and criteria while working with Physician Advisors and participating in quality improvement and network development.
Location: United States
Workplace: Onsite
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient care settings.
  • •Monitor and perform concurrent reviews of level-of-care services to ensure medical necessity and effectiveness.
  • •Provide telephone triage, crisis intervention, and emergency authorizations as assigned.
  • •Develop discharge plans with providers and facilities and oversee implementation.
  • •Participate in quality improvement activities, including data collection, tracking, and analysis.

Pay and Benefits

Salary: USD 64,285 - 102,855 annually

Key Requirements

  • •Current licensure required; acceptable options include CEAP, LMSW, LCSW, LSW, LPC, or RN.
  • •Minimum 2 years post-degree experience in healthcare, behavioral health, psychiatric and/or substance abuse care settings.
  • •Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
  • •Experience in inpatient and/or outpatient settings.
  • •Knowledge of DSM V (or most current diagnostic edition).
Experience:2+ yearsBehavioral healthPsychiatrySubstance abuseHealthcare
Education:Master's in Nursing; Social Work
Skills:OrganizationTime managementCommunication
Licenses:CEAPLMSWLCSWLSWLPCRN

Company Brief

Magellan Health Services
Provides managed behavioral health, specialty healthcare, pharmacy management, and population health services to health plans, employers, and government agencies, focusing on improving outcomes and reducing costs through integrated care solutions.
Industry: HealthTech
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Funding: IPO / Publicly Listed
Headquarters: Scottsdale, United States
Founded: 1969
WebsiteLinkedIn