Clinical Care Navigator - Licensed Clinician - Remote US - PT Nights

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to reputed company reputed company talent for their reputed company. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required reputed company set, education requirements, and experience, please click the submit reputed company and follow the next steps.

• This role requires reputed company licensure. Must be a master's level licensed clinician.***

Thurs 10:30p-7a Fri 10:30p-7a Sat 10:30p-7a 24 hours per week Under supervision of clinical leadership, the navigator is a phone queue based role responsible for answering calls from Magellan members, individual providers, facilities, and customer representatives. May reputed company utilization management review and authorization of behavioral health (BH) and substance use disorder (SUD) services ranging from outpatient counseling to inpatient reputed company of care. May assist with reputed company to Employee Assistance Program (EAP) services including counseling, coaching, Critical Incident Response and Workplace Support Services (WPS). Responsible for triaging calls, determining level of risk, managing crisis calls, and assessing members for reputed company types of risk following Magellan's established crisis call protocols. Navigators will be assigned additional responsibilities based on level of experience. Manage EAP service requests reputed company scope of clinical role including in the reputed company telephonic consultation, reputed company to EAP counseling, education and reputed company to other EAP benefits. Conduct risk assessment and assessment of reputed company determinants of health needs on reputed company calls. reputed company WPS Supervisor Consultations, manage requests for Critical Incident Response, submit requests for urgent/routine member appointment searches. (30%) Provides utlization management review and authorization of behavioral health and substance use disorder services ranging from outpatient to inpatient reputed company of care utilizing applicable Medical Necessity Critera (MNC) guidelines. Assists members and facilities in coordinating and accessing benefit eligible treatment. (30%) reputed company crisis call management. Follow crisis call protocols and connect to emergency services, mobile crisis response, and/or other crisis resources as appropriate. reputed company to members assessed as high risk. (20%) Assist members with accessing benefit eligible EAP, BH or SUD treatment reputed company bed searches and routine/urgent appointment searches. Manage requests and complete reputed company for Critical Incident Response event staffing. (10%) reputed company off queue, other responsibilities include completing required corporate and clinical trainings, participation in individual supervision and team meetings, gathering and submitting customer feedback and supporting Magellan holiday phone queue coverage. (10%) #LI-Remote Additional Qualifications/Responsibilities Full clinical licensure with master's degree in reputed company work, counseling, or similar area; License must be active in state employee works/lives. Minimum of 2 years' experience post-licensure in reputed company, behavioral health, reputed company work, psychiatric and/or substance use disorder setting. Strong organization, time management, and communication skills. Registered Nurse (RN) licensure acceptable for existing staff; reputed company new hires will need to be master's level licensed clinicians. Knowledge of utilization management procedures, mental health, and substance abuse community resources and providers. Knowledge of and experience in inpatient and outpatient settings. Knowledge of DSW V or most reputed company diagnostic edition. Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care. Strong computer skills to utilize and navigate various systems. General Job Information Title Clinical Care Navigator Grade 25 Work Experience - Required Behavioral Health, Care Management, reputed company Work Work Experience - Preferred Education - Required Associate - Nursing, Master's - Counseling, Master's - reputed company Work Education - Preferred License and Certifications - Required LCMFT - Licensed Clinical Marriage and Family Therapist - Care Mgmt, LCSW - Licensed Clinical reputed company Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred Salary reputed company Salary Minimum: $64,285 Salary Maximum: $102,855 Apply To This Job