Magellan Health

Counselor

• Provide coverage in short-term, surge and on-demand situations resulting from military needs, such as post-deployment events or covering absent counselors
• Provide personal financial counseling and management services to military service members and their families at military installations
• Conduct one-on-one counseling and consultations with commanders, providers, staff, and other stakeholders
• Conduct briefings, presentations, classes, seminars, and workshops on personal financial management
• Provide referral resources outside counseling sessions
• Work with installation and military branch Points of Contact to ensure the program stays within scope and meets installation needs
• Assist service members in establishing spending plans for extended absences
• Develop and distribute informational financial materials
• Coordinate and publicize Personal Financial Management classes and workshops across the military lifecycle
• Provide age-appropriate classes or seminars upon request
• Utilize virtual counseling and electronic communication modes when authorized
• Manage duty-to-warn situations according to Department of Defense protocol
• Communicate with leadership and participate in individual and group supervision
• Share trends and issues affecting assigned installations
• Participate in in-services, training, quality improvement committees, and other contract activities
• Perform other duties as assigned

Personal Financial Counselor

• Provide coverage in short-term, surge and on-demand situations arising from military needs
• Provide personal financial counseling and management services to military service members and their families
• Deliver one-on-one counseling and consultations with commanders, providers and staff
• Conduct briefings, presentations, classes and workshops on personal financial management
• Provide referral resources outside counseling sessions
• Work with installation and military branch Points of Contact to ensure the program meets installation needs
• Assist service members in establishing spending plans for extended absences
• Develop and distribute informational financial materials
• Respond to requests for age-appropriate classes or seminars
• Provide authorized virtual counseling through web-based, secure chat, video communications or secure video teleconference
• Manage duty-to-warn situations according to Department of Defense protocol
• Communicate with leadership and participate in individual and group supervision
• Share trends and issues affecting assigned installations
• Participate in training, quality improvement committees and other contract activities
• Perform other duties as assigned

• Provide coverage in short-term, surge and on-demand situations resulting from military needs
• Provide personal financial counseling and management services to military service members and their families at military installations
• Deliver one-on-one counseling and consultations with commanders, providers, staff, and other stakeholders
• Conduct briefings, presentations, classes, seminars, and workshops on personal financial management
• Provide referral resources to participants
• Assist service members in establishing spending plans for extended absences
• Develop and distribute informational financial materials
• Coordinate and publicize Personal Financial Management classes and workshops across the military lifecycle
• Respond to requests for age-appropriate classes and seminars
• Use virtual counseling and electronic communication modes, including web-based tools, secure online chat, video communications, and secure video teleconference when authorized
• Manage duty-to-warn situations according to Department of Defense protocol
• Communicate with leadership and participate in individual and group supervision
• Share trends and issues affecting assigned installations
• Participate in in-services, training, quality improvement committees, and other contract activities
• Comply with applicable security, legal, regulatory, contractual, and internal policy requirements
• Perform other duties as assigned

• Provide coverage in short-term, surge, and on-demand situations resulting from military needs
• Provide personal financial counseling and management services to service members and their families
• Deliver one-on-one counseling and consultations with commanders, providers, and staff
• Conduct briefings, presentations, classes, seminars, and workshops
• Provide referral resources to participants
• Work with installation and military branch Points of Contact to ensure program scope and installation needs are met
• Assist service members in establishing spending plans for extended absences
• Develop and distribute informational financial materials
• Coordinate and publicize Personal Financial Management classes and workshops across the military lifecycle
• Provide age-appropriate classes and seminars upon request
• Utilize virtual counseling and electronic communication methods when authorized
• Manage duty-to-warn situations according to Department of Defense protocol
• Communicate with leadership and participate in individual and group supervision
• Share trends and issues affecting assigned installations
• Participate in in-services, training, quality improvement committees, and other contract activities
• Perform other duties as assigned

• Provide coverage in short-term, surge, and on-demand situations caused by military needs, post-deployment events, or counselor absences
• Provide Adult or Child and Youth Behavioral counseling services to military service members and their families at military installations
• Provide non-medical, short-term, solution-focused counseling to adults, children, and youth
• Conduct assessments, brief counseling, consultation, action planning, referrals, resource linkage, and follow-up
• Provide consultation to parents, childcare center personnel, school personnel, and installation command regarding behavioral health issues
• Support CDCs, DoDEA and community schools, youth programs, summer camps, and on-demand assignments
• Provide training and health and wellness presentations and participate in health fairs and installation activities
• Enter counselor activity data daily through a smartphone or web application while maintaining confidentiality and anonymity
• Build rapport with service personnel, family members, students, parents, and coworkers
• Establish working relationships with community resources and provide appropriate linkages
• Partner with installation Points of Contact to deliver Adult and CYB services aligned with installation needs
• Manage duty-to-warn and restricted-reporting situations according to DoD protocol
• Communicate with Regional Supervisors and participate in individual and group supervision
• Respond to critical incidents and special requests as directed by the POC and approved by the OSD program manager

Assignment Readiness Counselor – Short Term, On Demand

• Provide MFLC consultation and counseling services to military commands, service members, and their families
• Deliver non-medical, short-term, walk-around, solution-focused counseling
• Conduct assessments, brief counseling, consultation, action planning, referrals, and follow-up
• Deliver training and health and wellness presentations
• Participate in health fairs and other base or installation activities
• Enter counselor activity data daily while maintaining confidentiality
• Maintain visibility within assigned brigades or regiments
• Establish relationships with community resources and provide service linkages
• Partner with installation Points of Contact to address installation needs
• Respond to critical incidents, surge and on-demand events, and special requests
• Flex schedule for urgent requests
• Manage duty-to-warn and restricted-reporting situations according to DoD protocol
• Communicate with Regional Supervisors and participate in individual and group supervision
• Participate in in-services, training, Quality Improvement committees, initiatives, studies, and pilot programs
• Complete documentation, certification and training processes, and required technology-based activities
• Perform other assigned duties

Military and Family Life Counselor – Adult, Child, Youth and School

Manager

• Capture business requirements and provide market analysis
• Develop negotiation strategies and manage the subcontracting process
• Communicate with internal stakeholders and negotiate with partners, subcontractors and consultants
• Execute market-competitive subcontracts that minimize organizational and customer risk
• Apply procurement best practices to achieve supply-chain value
• Build relationships with internal business owners to understand product and service requirements
• Prepare vendor agreements and related documents
• Review Prime contract terms and conditions and ensure proper flowdown
• Facilitate and support negotiations and execution of contract documents
• Develop risk-based negotiation strategies and subcontract language
• Support vendor due diligence and evaluation
• Obtain approvals from Legal, Compliance, IT, Security and relevant business stakeholders
• Act as liaison between Legal, internal business units and vendor representatives
• Provide expert advice on subcontract language, contracting policies, procedures, contract issues and document administration
• Assist with new vendor implementations and transitions
• Monitor and manage expiring subcontracts for renewal or termination
• Build and maintain external subcontractor relationships
• Develop and maintain vendor-related materials
• Identify process improvement and cost savings or avoidance opportunities
• Coordinate with Program Management on contractual matters, payment milestones, invoicing, performance issues and funding limitations
• Maintain contractual documentation, subcontract files, modifications, task/delivery orders, funding and invoicing status, certifications, supplier qualifications and correspondence
• Process and set up subcontracts and modifications according to Purchasing Policies and Procedures

Subcontracts Manager

• Provide the full breadth of Child and Youth Behavioral counseling services to children of military service members and their families
• Provide non-medical, short-term, solution-focused counseling at assigned primary and secondary locations
• Conduct assessments, brief counseling, consultation, action planning, referrals, resource linkage, and follow-up
• Provide consultation to parents, personnel, schools, installation command, and military branch Points of Contact regarding behavioral health issues
• Support DoDEA and community school staff and personnel, youth programs, and summer camps
• Provide parent training and guidance
• Deliver training and health and wellness presentations and participate in health fairs and installation activities
• Enter counselor activity data daily through smartphone or web applications while maintaining confidentiality and anonymity
• Establish relationships with community resources and provide appropriate linkages
• Maintain visibility within schools and follow line-of-sight protocols
• Partner with installation/facility Points of Contact to address installation needs
• Manage duty-to-warn and restricted-reporting situations according to DoD protocol
• Participate in individual and group supervision and communicate trends and issues to the Regional Supervisor
• Respond to critical incidents and special requests; flex schedule for urgent requests
• Participate in in-services, training, Quality Improvement committees, initiatives, studies, pilot programs, and other contract activities
• Complete documentation, certification and training processes, and use applicable technology
• Perform other duties as assigned

Military and Family Life Counselor – School

• Provide coverage in short-term, surge and on-demand situations arising from military needs
• Provide personal financial counseling and management services to military service members and their families at military installations
• Conduct one-on-one counseling, consultations, briefings, presentations and referrals
• Work with installation and military branch Points of Contact to ensure the program meets installation needs and remains within scope
• Assist service members in establishing spending plans for extended absences
• Develop and distribute informational financial materials
• Coordinate, publicize and deliver Personal Financial Management classes and workshops across the military lifecycle
• Respond to requests for age-appropriate classes or seminars
• Use virtual counseling and electronic communication methods when authorized
• Manage duty-to-warn situations according to Department of Defense protocol
• Communicate with leadership and participate in individual and group supervision
• Share trends and issues from assigned installations
• Participate in in-services, training, quality improvement committees and other contract activities
• Perform other duties as assigned

Personal Financial Counselor, Assignment Ready Counselor

• Provide personal financial services at assigned military installations
• Provide one-on-one financial counseling and consultation to military service members and their families
• Consult with commanders, providers, and staff
• Conduct briefings, presentations, classes, and seminars
• Provide referral resources outside counseling sessions
• Work with installation and military branch Points of Contact to ensure the program meets installation needs and remains within scope
• Assist service members in establishing spending plans for extended absences
• Develop and distribute informational financial materials
• Coordinate, publicize, and deliver Personal Financial Management classes and workshops across the military lifecycle
• Provide age-appropriate classes or seminars in response to requests
• Use virtual counseling and electronic communication methods, including web-based tools, secure online chat, video communications, and secure video teleconference when authorized
• Manage duty-to-warn situations according to Department of Defense protocol
• Communicate with leadership and participate in individual and group supervision
• Share information about trends and issues at assigned installations
• Participate in in-services, training, quality improvement committees, and other contract activities
• Perform other duties as assigned

This position is available for remote and candidate needs to be licensed in PA.

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.
- Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.

- Provides telephone triage, crisis intervention and emergency authorizations as assigned.

- Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. 

- In conjunction with providers and facilities, develops discharge plans and oversee their implementation. 

- Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.

- Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.

- Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.

- Participates in quality improvement activities, including data collection, tracking, and analysis.

- Maintains an active work load in accordance with National Care Manager performance standards. 

- Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. 

- Participates in network development including identification and recruitment of quality providers as needed. 

- Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Other Job Requirements

Responsibilities
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. 
One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.
Minimum 2 years 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 specific utilization problems, plan and implement solutions that directly influence quality of care.

General Job Information

Title
Care Manager, BH - Remote PA

Grade
25

Work Experience - Required
Clinical
Work Experience - Preferred

Education - Required
Associate - Nursing, Bachelor's - Social Work, Master's - Social Work
Education - Preferred

License and Certifications - Required
CEAP - Certified Employee Assistance Professional - Care MgmtCare MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare MgmtCare Mgmt, LMFT - Licensed Marital and Family Therapist - Care MgmtCare MgmtCare Mgmt, LMSW - Licensed Master Social Worker - Care MgmtCare MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt
License and Certifications - Preferred

Salary Range
Salary Minimum:
$64,285Salary Maximum:
$102,855
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Care Manager, BH - Remote PA

Care Coordinator

Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are performed virtually or face-to-face based on contractual requirements. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.
- Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.

- Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.

- Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (e.g., during transition to home care, backup plans, community-based services).

- Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.

- Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.

- Acts as an advocate for member`s care needs by identifying and addressing gaps in care.

- Performs ongoing monitoring of the plan of care to evaluate effectiveness. 

- Measures the effectiveness of interventions as identified in the members care plan.

- Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes. 

- Collects clinical path variance data that indicates potential areas for improvement of case and services provided. 

- Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.

- Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.

- Facilitates a team approach to the coordination and cost-effective delivery to quality care and services. 

- Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.

- Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long-term care services. Utilizes licensed care coordination staff as appropriate for complex cases.

- Provides assistance to members with questions and concerns regarding care, providers or delivery system.

- Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.

- Generates reports in accordance with care coordination goal.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Other Job Requirements

Responsibilities
3-5 years' experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.
Experience in analyzing trends based on decision support systems.
Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.
Knowledge of referral coordination to community and private/public resources.
Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.
Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.
Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.
Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.
Ability to maintain complete and accurate enrollee records.
Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.

General Job Information

Title
Care Coordinator, Remote in Las Cruces, NM

Grade
22

Work Experience - Required
Clinical, Quality
Work Experience - Preferred

Education - Required
GED, High School
Education - Preferred
Associate, Bachelor's
License and Certifications - Required
DL - Driver License, Valid In State - OtherOther
License and Certifications - Preferred
CCM - Certified Case Manager - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt
Salary Range
Salary Minimum:
$50,225Salary Maximum:
$75,335
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Care Coordinator, Remote in Las Cruces, NM

• Coordinate care for individual clients through assessment, care planning, implementation, coordination, monitoring, and evaluation
• Perform duties virtually or face-to-face according to contractual requirements
• Promote appropriate use of clinical and financial resources to improve quality of care and member satisfaction
• Provide care coordination for members with behavioral health conditions requiring intensive interventions and oversight
• Conduct in-depth health risk and comprehensive needs assessments covering psychosocial, physical, medical, behavioral, environmental, and financial factors
• Develop, communicate, document, and implement care plans and serve as the point of contact for service delivery
• Implement, coordinate, and monitor strategies to improve members' and families' health and quality-of-life outcomes
• Address members' social, physical, mental, emotional, spiritual, and supportive needs through appropriate resources
• Identify and address gaps in care and advocate for members' care needs
• Monitor and evaluate care-plan effectiveness and measure intervention outcomes
• Review care plans regularly to identify gaps and trends
• Collect clinical path variance data to identify improvement opportunities
• Collaborate with interdisciplinary care-plan teams to adjust care plans and coordinate services
• Educate providers, staff, members, and families on care coordination and health strategies
• Facilitate team-based, cost-effective delivery of quality care across the continuum
• Collaborate with members, caregivers, legal representatives, physicians, care providers, and ancillary services on medical, behavioral, social, community-based, and long-term-care needs
• Assist members with questions and concerns regarding care, providers, or delivery systems
• Maintain professional relationships with inpatient, outpatient, and community stakeholders
• Generate reports aligned with care-coordination goals
• Assist with orientation and mentoring of new team members as appropriate

• 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 quality improvement projects and activities, including data collection, tracking, and analysis
• Monitor inpatient and/or outpatient level-of-care services for medical necessity and effectiveness
• Provide telephone triage, crisis intervention, and emergency authorizations
• Perform concurrent reviews for inpatient, outpatient, and other applicable levels of care
• Develop discharge plans with providers and facilities and oversee implementation
• Perform quality clinical reviews, educate stakeholders, and make interventions to advance member care
• Provide information about benefits, community treatment resources, managed care programs, policies, procedures, and criteria
• Interact with Physician Advisors regarding clinical and authorization questions
• 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

Care Manager, BH

Program Manager

• Serve as deputy to the program manager for government contract delivery
• Supervise employees in the project management office and/or regional or installation-level field personnel
• Support operational project planning and implementation
• Provide operational support for reporting, tasker completion, presentations, contract management, communications, scheduling, and assigned functions
• Meet with process owners and stakeholders to define project goals, objectives, success factors, and measures
• Create, execute, and revise project work plans
• Identify resources and assign responsibilities
• Manage day-to-day project operations and scope, including meeting facilitation and documentation
• Review team deliverables before submission
• Prepare project reviews and quality assurance procedures
• Analyze program data and metrics and contribute to high-level reports for corporate and government leadership
• Identify and escalate project risks and issues
• Maintain complete, current, and properly stored project documentation
• Keep project teams informed of organizational changes and corporate news affecting project scope
• Provide regular stakeholder status reporting
• Prepare enterprise project activity reports and dashboards
• Deliver engaging, informative, and well-organized presentations
• Conduct lessons learned and improve processes
• Contribute to and maintain project management policies, guidelines, and best practices
• Assist with resource management and project financial materials
• Participate in strategy and growth activities, including solutions, proposals, staffing estimates, and new business opportunities
• Perform other assigned duties

Personal Financial Counselor

Personal Financial Counselor

Personal Financial Counselor

Personal Financial Counselor

Assignment Readiness Counselor – Short Term, On Demand

Military and Family Life Counselor – Adult, Child, Youth and School

Subcontracts Manager

Military and Family Life Counselor – School

Personal Financial Counselor, Assignment Ready Counselor

Personal Financial Counselor

Care Manager, BH - Remote PA

Care Coordinator, Remote in Las Cruces, NM

Care Coordinator

Care Manager, BH

Deputy Program Manager