Care Manager, BH – Louisiana License Required

Magellan Health

. Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient care settings .

Posted 9/30/2026full-timeRemote • Louisiana • United StatesJuniorMid-Level💰 $64,285 - $102,855 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in mental health and substance abuse services, including utilization management, care coordination, and crisis intervention. Proficient in analyzing utilization data and developing discharge plans while maintaining compliance with state licensing requirements.

Highest-signal resume keywords

Licensed In LouisianaUtilization Management ProceduresCrisis InterventionKnowledge Of DSM VExperience In Inpatient And Outpatient Settings

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization Data AnalysisDischarge PlanningConcurrent ReviewsQuality Clinical ReviewsCare Coordination

Soft Skills

Strong Organization SkillsTime ManagementCommunication Skills

Certifications & Qualifications

CEAPLMSWLCSWLSWLPCLMFTRN

Industry Keywords

Mental HealthSubstance AbuseBehavioral HealthHealthcareQuality Improvement

About the role

Key responsibilities & impact

Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient care settings
Collect and analyze utilization data
Assist with discharge planning and care coordination
Provide member assistance with mental health and substance abuse issues
Participate in special quality improvement projects
Monitor levels of care to ensure medical necessity and effectiveness
Provide telephone triage, crisis intervention, and emergency authorizations
Perform concurrent reviews for inpatient and/or outpatient care and other levels of care within scope of practice and experience
Develop discharge plans with providers and facilities and oversee implementation
Perform quality clinical reviews and educate members and providers
Provide information about benefits, community treatment resources, managed care programs, policies, procedures, and criteria
Interact with Physician Advisors regarding clinical and authorization questions
Participate in quality improvement activities, including data collection, tracking, and analysis
Maintain workload according to National Care Manager performance standards
Work with community agencies and propose alternative treatment plans when services do not meet medical necessity criteria
Participate in network development, including identifying and recruiting quality providers
Advocate for patients and interact professionally with providers

Requirements

What you’ll need

Candidates must be licensed in Louisiana
Current license meeting State, Commonwealth, or customer-specific requirements
One or more required licenses/certifications: CEAP, LMSW, LCSW, LSW, LPC, LMFT, or RN with necessary degrees
Minimum 2 years of experience post degree in healthcare, behavioral health, psychiatric, and/or substance abuse health care setting
Strong organization, time management, and communication skills
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers
Knowledge and experience in inpatient and/or outpatient settings
Knowledge of DSM V or most current diagnostic edition
Ability to analyze utilization problems and plan and implement solutions that influence quality of care
Required education: Associate in Nursing, Bachelor's in Social Work, or Master's in Social Work

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health benefits
Life benefits
Voluntary benefits
Other benefits and perks supporting physical, mental, emotional, and financial wellbeing
Equal Opportunity Employer
Tobacco-free workplace