Behavioral Health Care Manager Remote, must be Licensed in California

Magellan Health; California (MO); Remote; USD 58,000 - 94,000; Full time

Job summary

An established industry player is seeking a Behavioral Health Care Manager to join their remote team. This role involves overseeing mental health and substance abuse services, ensuring quality care through effective crisis intervention and discharge planning. The ideal candidate will possess a valid California license and have a strong background in behavioral health, with excellent organizational and communication skills. This position offers a competitive salary and a comprehensive benefits package, making it a rewarding opportunity for those passionate about improving patient care and collaborating with a dedicated clinical team.

Benefits

Comprehensive Benefits Package

Incentives

Flexible Work Hours

Qualifications

• Requires a current license in California (CEAP, LCSW, LMSW, LPC, LSW, RN).
• At least 2 years of post-degree experience in healthcare or behavioral health.

Responsibilities

• Authorize and review mental health and substance abuse services.
• Conduct clinical reviews and develop discharge plans.
• Engage with community agencies and advocate for patient needs.

Skills

Organizational Skills

Communication Skills

Time Management

Data Analysis

Crisis Intervention

Education

Associate in Nursing

Bachelor's in Social Work

Master's in Social Work

Job description

Job Description - Behavioral Health Care Manager (Remote, California Licensed)

This role is a Triage call center position with shifts Monday-Friday, 8:30 AM - 5:00 PM Pacific Time.

Under general supervision, in collaboration with the clinical team, the responsibilities include authorizing and reviewing utilization of mental health and substance abuse services in inpatient and outpatient settings. The role involves data analysis, discharge planning, care coordination, crisis intervention, and participation in quality improvement projects.

1. Monitor inpatient and outpatient services for medical necessity and effectiveness.
2. Provide telephone triage, crisis intervention, and emergency authorizations.
3. Perform concurrent reviews within scope of practice and experience.
4. Develop and oversee discharge plans with providers and facilities.
5. Conduct clinical reviews, educate, and intervene to improve member care.
6. Inform members and providers about benefits, resources, and company policies.
7. Collaborate with Physician Advisors on clinical and authorization matters.
8. Participate in quality improvement activities, including data collection and analysis.
9. Maintain an active workload aligned with performance standards.
10. Engage with community agencies and propose treatment alternatives when necessary.
11. Contribute to network development by identifying and recruiting quality providers.
12. Advocate for patient needs and interact professionally with providers.

Other Job Requirements

Licensure is mandatory, requiring a current license meeting state, commonwealth, or client-specific standards. Required licenses include CEAP, LMSW, LCSW, LSW, LPC, or RN, with at least 2 years of post-degree experience in healthcare, behavioral health, psychiatric, or substance abuse settings. Strong organizational, communication, and time management skills are essential. Knowledge of utilization management, community resources, DSM V, and inpatient/outpatient settings is required.

General Job Information

Title: Behavioral Health Care Manager (Remote, California Licensed)

Grade: 24

Work Experience - Required: Clinical

Education - Required: Associate in Nursing, Bachelor's or Master's in Social Work

License and Certifications - Required: CEAP, LCSW, LMSW, LPC, LSW, RN, or equivalent licensure in California

Salary Range: $58,440 - $93,500 (base salary, varies by location and experience)

This position may include incentives and a comprehensive benefits package. Magellan Health is an Equal Opportunity Employer and a Tobacco-free workplace. All employees must adhere to security and compliance policies.