Will have primary responsibility for the management, supervision and
coordination of care management staff including intensive care manage-
ment staff. Provides leadership and subject matter expertise in de-
signated clinical programs.
A. Manage Care Management team member 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.
Ø Regularly assess the clinical performance of care manage-
ment staff via documentation audits, live service observations and other performance management tools.
Ø Set clear performance expectations with team of approximately 10-12 associates (and communicate how performance goals are linked to organizational goals and values.
Ø Motivate and encourage team members to excel. Create a
team environment that contributes to a high degree of em-
Ø Monitor individual team member reliability patterns and take
corrective steps when indicated. Utilize the workforce manage-
ment system to monitor schedule adherence and other work
Ø Recruit, interview, and select qualified clinical team members, take corrective actions for team members that do not meet expectations.
Ø Conduct the performance review, merit and bonus processes
for team members.
B. Lead the Care Managers in the monitoring and managing in-
patient, outpatient and intermediate levels of care related to mental health and substance abuse treatment. Oversee care
management review activities consistent with Magellan Be-
havioral Health policies, procedures, and standards.
C. Manage day to day activity of care manager/care worker team
to ensure client commitments and other Magellan performance
expectations are achieved:
Ø Develop plans to ensure team achieves specific goals in sup-
port of client and overall CMC goals.
Ø Coordinate with Operations Hub in the achievement of service
level and resource utilization goal
D. Coordinates Quality Improvement activities under the direction of clinical leadership.
E. Assists clinical management in the development and imple-
mentation of strategic and operational goals and plans.
F. Ensures appropriate clinical supervision and case consulta-
tion for clinical staff, including psychiatric consultation. Assists, on an as needed basis, in response to peak work
If Manager has RN qualifications, oversight of TRF reviews are done by Masters or Doctoral level supervisor.
Manages within the established Magellan clinical quality standards
and quality management plan protocols. Provides clinical leadership
for the review and initiation of alternative placements for care.
1. Education: BSN, Masters or Doctoral level degree in mental
health or related field.
2. Experience: 6yrs experience to include 5 years post degree
experience in a behavioral healthcare setting and 2 yrs
3. Computer Skills: Ability to use computer systems.
4. Licenses, Certifications, etc.: Meets Magellan’s credentialing criteria for RN, Masters or Doctoral level provider
Reviews and monitors care managers’ performance; provides feed-
back and counseling; and hires clinical staff. Good organization,
time management and communication skills. Thorough knowledge
of mental health and substance abuse community resources and
providers. Ability to function independently as a team member,
analyze specific utilization problems, plan and implement solutions
that directly influence quality of care and cost efficiency and to supervise the collection of pertinent clinical information while maintaining a good rapport and relationship with mental health and substanceabuse providers. Considerable skill in interpreting clinical treatment information and making appropriate referral and triage decisions.
1. Experience. Three years previous experience in an administra-
tive/supervisory and/or managed care position is preferred.
14100 Magellan Plaza (MO26)
14100 Magellan Plaza
Magellan Health Services is a leading specialty health care management organization with expertise in managing behavioral health, radiology and specialty pharmaceuticals, as well as public sector pharmacy benefits programs. We deliver innovative solutions to make a positive impact on the cost and quality of health care, keeping the best interests of the people we serve at the center of our decision-making. The breadth of our offerings, depth of expertise, clinical excellence and smart, talented employees is what makes us unique.
Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment where we value professional growth and development, total health and wellness, rewards and recognition and employee unity. Magellan is a place where you can thrive.
Magellan Health Services - 12 months ago
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