Company Detail

Job Description

Must hold a North Carolina independent license such as LPC, LCSW, LMFT.

Provides the full breadth of MFLC consultation and counseling services to the command structure and military service members and their families as an embedded counselor assigned to a dedicated military unit. Responsible for providing MFLC services including non-medical, short term, walk around counseling, training/health and wellness presentations, and consultation to the brigade/regiments command regarding behavioral health issues with a unique understanding of the particular military unit, cultural and mission.

• Provides non-medical, short-term, solution focused, walk-around counseling directly to service and family members of a dedicated military unit (brigade, wing or regiment) as an embedded counselor. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated. Delivers training and health and wellness presentations and activities as requested/ directed.

• Enters counselor activity data on a daily basis through smart phone or web application to assure that reporting is accurate from assigned installation, while maintaining client / service member confidentiality.

• Cultivates and maintains direct relationships with commanders and personnel within the assigned military unit, utilizing relationship management skills and recognizing the unique structure and mission of the assigned military unit. Responsible for development of an effective and professional working relationship with the installation POC (Point of Contact), command, and the command POC.

• Creates a presence within the brigade/regiment in which the service and family members feel comfortable approaching the counselor, recognizing the program to be confidential. Establish and maintain working relationships with community resources and provide appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the brigade/regiment.

• Provides MFLC response to critical incidents, surge, and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. Counselor will flex schedule to respond to urgent requests as needed.

• Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional Supervisor/Regional Director.

• Communicates with Regional Supervisors and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.

• Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.

Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.

For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.

A minimum two years of post licensure counseling experience.

Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. May require travel to locations outside of a military base in a variety of physical environments. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.

Ability to prove US Citizenship and must speak fluent English.

Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.

Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.

Some units require a secret level clearance in addition to the previously stated requirements.

Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military and Family Life Adult Counselor

Grade

MFLC Tier 3

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

Salary Range

Salary Minimum: $59,922

Salary Maximum: $100,280

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of schools affiliated with Robins AFB . Candidates must be local or willing to relocate to become local and be licensed at the independent level in the state of Georgia as a Social Worker ( LCSW ), Therapist ( LMFT ), or Mental Health Counselor ( LPC ).

This position has the primary responsibility of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages of military service members and their families at military installations and off military installations. These services may include non-medical counseling, training/ health and wellness presentations, consultation with parents, personnel, schools, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB School counselors will be assigned to Department of Defense (DoDEA) schools and community schools and will need to have experience working in a school setting to qualify for school position. CYB School counselors will also be assigned to youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation and the schools.

• Provides non-medical, short-term, solution focused, counseling directly to children and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.

• CYB counselors will also have a focus on supporting the staff and personnel of DoDEA and community schools, and summer camps as well as providing parent training and guidance.

• Provides training and health and wellness presentations, participates in health fairs and other base/installation activities focused on children and youth.

• Enters counselor activity data on a daily basis through smart phone, or web application, to assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service/family member.

• Creates a presence in the school; is available to children, youth, and staff. When working with children, the counselor must abide by line of sight protocol (another adult with responsibility for the child must be able to see the counselor and child they are working with at all times).

• Establishes and maintains working relationships with community resources focused on children and youth and provides appropriate linkages.

• Partners with POC to provide CYB services in a manner that addresses the needs of the installation/facility. Develops an effective and professional working relationship with the installation/facility POC.

• Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.

• Communicates with Regional Supervisor and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned.

• Responds to critical incidents and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. The CYB will flex schedule to respond to urgent requests as needed.

• Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.

  Other Job Requirements

Responsibilities

Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.

Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner. For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.

Minimum 2 years of post-masters supervised clinical experience.

Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.

May require travel to locations outside of a military base in a variety of physical environments.

Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.

Ability to prove US Citizenship and must be fluent in English.

Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic and socioeconomic backgrounds.

Must pass a National Agency Check and Inquiries (NACI) Clearance, and an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.

Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military and Family Life Counselor - School

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

Salary Range

Salary Minimum: $59,922

Salary Maximum: $100,280

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position supports the Training Center Manager to accomplish all administrative, training, and logistics functions. Typically responsible for ordering and receiving any supplies, property accountability, assisting with travel, and training management functions as directed by the Training Center Manager.

• Under general supervision, handles a wide variety of general office procedures and administrative duties such as setting-up and maintaining files, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, invoices, or records.

• Prepares or assists in the preparation of regularly scheduled or special reports and projects as directed. Compiles and types statistical reports, using spreadsheet and/or graphic software.

• Orders office supplies as necessary.

• Maintains Manager`s calendar, daily schedule and arranges for meeting rooms.

• Coordinates travel and lodging arrangements as needed

• Maintains recurring internal reports, such as: time and leave reports, office equipment listings, correspondence controls, training plans, etc.

• Answers the telephone and screens incoming calls and correspondence. Refers calls and visitors to appropriate staff. Routes incoming mail and may prepare outgoing mail.

• Establishes and maintains files, records and procedures manuals.

• Performs other comparable duties as assigned.

  Other Job Requirements

Responsibilities

Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.

Ability to communicate and interact with others, both in person and/or by telephone to conduct business.

Ability to work under time pressure and rapidly for long periods to meet deadlines.

Ability to manage multiple concurrent tasks.

Ability to perform under stress.

Reading, writing and comprehension proficiency.

Problem solving skills.

Ability to maintain confidentiality.

Customer contact skills.

General Job Information

Title

Administrative Assistant (General Clerk II), ARD

Grade

WDNCSF2GCII

Work Experience - Required

Work Experience - Preferred

Education - Required

Associates

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

This is a Service Contract Act (SCA) covered position. The pay rate and health and welfare allowance are specified in the applicable wage determination agreement.

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position will support a variety of task orders for the Consumer Financial Protection Bureau. Primary responsibilities will include creating new training materials and conducting surveys, focus groups and other analysis to measure the success of CFPB program to integrate services and increase the financial capability and/or empowerment of consumers.

• Develops survey instruments and codebooks to evaluate the effectiveness of financial empowerment interventions such as training, coaching, education, or interactive tools; when necessary survey development will include the creation of Paperwork Reduction Act materials to receive Government clearance to field the survey instrument.

• Conducts focus groups and informal interviews to gather insight into the effectiveness of financial empowerment interventions such as training, coaching, education, or interactive tools.

• Analyzes datasets and present the data on the success of financial interventions in an informative way, graphical way.

• Summarizes datasets in clearly written, non-technical language.

• Provides recommendations based in data and research on changes in the financial empowerment interventions and programs in clearly written, non-technical language.

• Identifies and implements ways to measure success of financial empowerment interventions such as training, coaching, education, or interactive tools.

• Works closely with selected non-profit organizations to provide technical assistance around integrating financial empowerment interventions and measuring success of those programs; this includes helping organizations to build a financial empowerment team internally, discover existing resources, select from the existing resources, train their staff, identify how best to implement and/or integrate these services, and measure their success.

• Writes, designs, and creates financial empowerment materials to include website pages, interactive tools, short videos, toolkits, booklets, training presentations, and other materials. In doing so, work collaboratively with design experts to develop lively, engaging and effective materials. In this task, the Senior Researcher will conduct literature reviews, develop first drafts, and work closely with design professionals on the finished products.

• All other duties as assigned.

  Other Job Requirements

Responsibilities

Two years of experience creating datasets and codebooks.

Experience conducting data analysis and reviewing datasets for quality.

General Job Information

Title

Senior Researcher, CFPB CEE

Grade

27

Work Experience - Required

Data Analysis

Work Experience - Preferred

Education - Required

Masters

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

CFP - Certified Financial Planner - Enterprise, PMP - Project Management Professional - Enterprise

Salary Range

Salary Minimum:

$77,785

Salary Maximum:

$124,455

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate 1

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends.

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Performs all functions of a registered pharmacist. Complies with all federal and state rules and regulations governing the practice of pharmacy. Complies with all corporate and facility standard operating procedures, policies, guidelines and work instructions.

• Reviews, receives and verifies new patient orders and documents prior to dispensing. Processes and checks medications, supplies and equipment prior to dispensing from the pharmacy. Communicates with physician's office as related to prescription orders and drug utilization. Provides consultation and answers inquiries from patients, patient's agent, physicians and other healthcare professionals regarding medications and their use.

• Participates in mandatory on-call rotation.

• Adheres to organizational policies and procedures and ensuring compliance with federal laws, state laws and standards of practice which govern the profession of pharmacy. Maintains pharmacy records in accordance with all applicable state and federal laws and regulations.

• Maintains clinical skills and knowledge of pharmacotherapy by reviewing the literature, continuing education and any company provided in-services.

• Completes all mandatory company provided training courses. Attends and completes all employee development courses.

  Other Job Requirements

Responsibilities

Active registered pharmacist license in good standing.

Minimum of three years recent experience in specialty, retail or home infusion setting.

General Job Information

Title

Pharmacist (PRN)

Grade

29

Work Experience - Required

Pharmacy

Work Experience - Preferred

Education - Required

Bachelors - Pharmacy

Education - Preferred

PharmD - Pharmacy

License and Certifications - Required

RPH - Registered Pharmacist - Pharmacy

License and Certifications - Preferred

PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends.

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate 1

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends.

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends.

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers 24 hours a day 7 days a week regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. Scheduled work hours are determined based on business need which could include normal business, evenings, overnights and weekends

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assists in the mentoring and training of new staff.

• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

• Educates providers on how to submit claims and when/where to submit a treatment plan.

• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

• Informs providers and members on Magellan's appeal process.

• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

• Links or makes routine referrals and triage decisions not requiring clinical judgment.

• Performs necessary follow-up tasks to ensure member or provider needs are completely met.

• Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

• Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

• Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Support team members and participate in team activities to help build a high-performance team.

• Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

Must agree to observing service for the purpose of training and quality control.

Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

Must be able to maneuver through various computer platforms while verifying information on all calls.

Must be able to talk and type simultaneously.

General Job Information

Title

Customer Service Associate

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position has the primary responsibility of providing the full breadth of MFLC counseling services to military service members and their families at the Special Operations Command (SOCOM). This position requires a secret level security clearance and must abide by the rules governing such secret clearance. The counselor is responsible for providing MFLC services including non-medical, short-term, walk-around counseling, training/health and wellness presentations, and consultation to installation command regarding behavioral health issues with a unique understanding of the special operations cultural and security issues.

• Provides non-medical, short-term, solution focused, walk-around counseling directly to service and family members of the SOCOM. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.

• Delivers training and health and wellness presentations and other base/installation activities as requested/directed.

• Enters counselor activity data daily through smart phone, or web application to assure that reporting is accurate from assigned installation, while maintaining client / service member confidentiality.

• Cultivate and maintain direct relationships with installation personnel within the SOCOM. Responsible for development of an effective and professional working relationship with the installation POC (Point of Contact) and with the SOCOM leadership.

• Create a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Establishes and maintains working relationships with community resources and provides appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the installation.

• Provides MFLC response to critical incidents, surge, and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. Counselor will flex schedule to respond to urgent requests as needed.

• Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional Supervisor/Regional Director.

• Communicates with Regional Supervisors and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.

• Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/ appropriate.

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.

Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.

For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.

A minimum of two years of post licensure counseling experience.

Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.

May require travel to locations outside of a military base in a variety of physical environments. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.

Secret Level security clearance.

Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.

Ability to prove US Citizenship and must speak fluent English.

Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.

Prior military service/military family member and/or strong familiarity with military culture and command structure; ability to establish productive relationships with high ranking military personnel.

Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military Family Life Counselor SOCOM

Grade

MFLC Tier 3

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt, Secret Security Clearance - Other

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

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.

  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

Public Sector After hours Care Manager

Grade

23

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Associates - Nursing, Bachelors - Social Work, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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.

Job Detail

• Company:
  Magellan Health Services