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Magellan Health

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 9/29/2026full-timeRemote • Louisiana • United StatesJuniorMid-Level💰 $64,285 - $102,855 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in mental health and substance abuse services, including utilization management, care coordination, and crisis intervention. Proficient in analyzing utilization data and implementing solutions to enhance quality of care in both inpatient and outpatient settings.

Highest-signal resume keywords
Licensed Clinical Social Worker (LCSW)Utilization Management ProceduresCrisis InterventionDischarge PlanningKnowledge of DSM V

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Utilization Data AnalysisConcurrent ReviewsQuality Clinical ReviewsCare CoordinationTelephone Triage
Soft Skills
Strong Organization SkillsTime ManagementCommunication Skills
Certifications & Qualifications
CEAPLMSWLSWLPCRN
Industry Keywords
Mental Health ServicesSubstance Abuse ServicesInpatient CareOutpatient CareCommunity Resources

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 for mental health and substance abuse issues
  • Participate in quality improvement projects and activities
  • Monitor inpatient and/or outpatient levels of care for medical necessity and effectiveness
  • Provide telephone triage, crisis intervention and emergency authorizations
  • Perform concurrent reviews for inpatient/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 resources, managed care programs, policies, procedures and criteria
  • Discuss clinical and authorization questions with Physician Advisors
  • Maintain workload according to National Care Manager performance standards
  • Work with community agencies
  • 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
  • Current license meeting State, Commonwealth or customer-specific requirements
  • One or more required licensure options with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN
  • 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 setting
  • Knowledge of DSM V or most current diagnostic edition
  • Ability to analyze utilization problems and implement solutions influencing quality of care
  • Associate degree in Nursing, Bachelor's degree in Social Work, or Master's degree in Social Work
  • Louisiana licensure required

Benefits

Comp & perks
  • Short-term incentives may be available
  • Comprehensive benefits package
  • Health, life, voluntary and other benefits
  • Benefits and perks supporting physical, mental, emotional and financial wellbeing
  • Tobacco-free workplace