Care Manager (UM/UR) - Remote, Idaho Licensed

Magellan Health Services
Boise
Workplace: RemoteFull timeUSD 64,285 - 102,855 annuallyFunction: Solutions Engineering & Sales EngineeringExperience: 2+ yearsSkills: ["Communication","Organization","Time management","Analysis","Care coordination"]

Authorize and review utilization of mental health and substance abuse services across inpatient and outpatient settings under general supervision. Analyze utilization data, support discharge planning and care coordination, and provide member assistance including telephone triage, crisis intervention, and emergency authorizations. Conduct concurrent and quality clinical reviews, educate members and providers, coordinate with Physician Advisors, and participate in quality improvement, network development, and medical necessity advocacy.

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Magellan Health Services
Magellan Health Services
2 days ago

Care Manager (UM/UR) - Remote, Idaho Licensed

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Source: Company careers pageValidated by: Fursa AI
Last checked: 15 hours agoStatus: Live

Job Summary

Authorize and review utilization of mental health and substance abuse services across inpatient and outpatient settings under general supervision. Analyze utilization data, support discharge planning and care coordination, and provide member assistance including telephone triage, crisis intervention, and emergency authorizations. Conduct concurrent and quality clinical reviews, educate members and providers, coordinate with Physician Advisors, and participate in quality improvement, network development, and medical necessity advocacy.
Location: Boise
Workplace: Remote
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Mid level

Key Responsibilities

  • •Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient settings.
  • •Collect and analyze utilization data and monitor levels of care to ensure medical necessity and effectiveness.
  • •Provide discharge planning, care coordination, and concurrent reviews for inpatient/outpatient levels of care.
  • •Perform telephone triage, crisis intervention, and emergency authorizations as assigned.
  • •Educate members and providers, coordinate with Physician Advisors, and participate in quality improvement and network development activities.

Pay and Benefits

Salary: USD 64,285 - 102,855 annually

Key Requirements

  • •Idaho licensure is required; if you live outside Idaho, you must also be licensed in your state.
  • •One or more of these licensures is required: CEAP, LMSW, LCSW, LSW, LPC, or RN (state/compact).
  • •Minimum 2 years post-degree experience in healthcare, behavioral health, psychiatric and/or substance abuse settings.
  • •Strong organization, time management, and communication skills.
  • •Knowledge of utilization management, inpatient and/or outpatient care, DSM V (or current diagnostic edition), and medical necessity/effectiveness decision-making.
Experience:2+ yearsHealthcareBehavioral healthMental healthSubstance abuse
Education:
Skills:CommunicationOrganizationTime managementAnalysisCare coordination
Licenses:CEAPLCSWLMSWLMFTLPCLSWRN
Certifications:CEAPLCSWLMSWLMFTLPCLSWRN

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