Company Detail

Job Description

The FAIS functions as the FAP prevention facilitator and community liaison coordinator in addition to providing primary treatment services for assigned maltreatment and Family Advocacy Strength-Based Therapy (FAST) cases, coordinating services for families and monitoring client participation and progress utilizing the modalities of social casework, and for psychotherapy and psycho-educational interventions.

• Directs the development and implementation of prevention services.

• Provides community behavioral health education.

• Provides family violence education.

• Provides prevention training (annually, to new personnel and leadership personnel).

• Provides resource finding and service linking.

• Provides prevention program interventions to promote protective factors and to address maltreatment risk factors.

• Collaborates with other New Parent Support Program (NPSP) team members to develop service plans that incorporate primary and secondary prevention services.

• Conducts home visits to NPSP clients assessed as high needs and who request social work intervention.

  Other Job Requirements

Responsibilities

U.S. licensed clinical Social Worker.

Master's degree from a Council on Social Work Education (CSWE) accredited school.

Two years of full-time post-master's degree experience (within the last three years) in professional clinical counseling service programs to men, women, and children who are abusive or abused.

Must have experience as a group therapy facilitator or co-leader.

Two years' experience working with children, families, and groups in clinical or community organization settings; or as program manager, with demonstrated responsibilities in program planning with implementation of education and intervention services, and community collaboration.

Experience working with professionals and agencies that provide community support and counseling intervention services to children and families.

Shall be able to obtain and maintain a National Agency Check with Inquiries (NACI) Tier 1 Clearance.

Possess and maintain Basic Life Support Certification: the American Heart Association Basic Life Support Course (BLS) (Course C) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS (Heart Saver) Course.

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.

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

Before starting work, FAP personnel working with Military Treatment Facilities (MTFs) shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and proof of a negative TB skin test (completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months).

General Job Information

Title

Family Advocacy Intervention Specialist (FAIS), AFMRA

Grade

23

Work Experience - Required

Behavioral Health, Clinical

Work Experience - Preferred

Education - Required

Masters

Education - Preferred

License and Certifications - Required

BLS - Basic Life Support - Care Mgmt, LCSW - Licensed Clinical Social Worker - 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

Job Description

Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members' adaptation to military life, enhance the knowledge and skills for healthy relationships that can provide safe, nurturing environments for children to prevent family violence. Provide activities and services including information and referrals, parenting programs, respite care for children, and supervised play time for children. Families with children prenatal to 3 years old who have been assessed as being at risk for child maltreatment and/or Family violence can benefit from additional, more-intensive support from these services.

• Provides effective, timely and confidential services for Families who have been assessed as being at risk for child maltreatment and/or Family violence.

• Protects the privacy and confidentiality of client information.

• Identifies and reports suspected child abuse and neglect and domestic abuse.

• Assesses developmental milestones and referral procedures for indicators of special needs or developmental delays.

• Assesses and strengthening adaptation to parenthood.

• Assesses and strengthening parental capacity for problem-solving, building and sustaining trusting relationships, and seeking help when necessary.

• Promotes developmentally appropriate parenting skills and disciplinary techniques, and parent and child communication skills.

• Facilitates informal and formal community networks to build positive relationships and reduce social isolation.

• Develops relationships with local community and military installation officials and organizations that can maximize program effectiveness.

• Utilizes community-based services and formal and informal community networks to provide concrete support for families who may be in crisis.

• Utilizes methods for screening for, assessing, and addressing protective and risk factors associated with child abuse and neglect using a strengths-based Family centered developmental approach.

• Keeps tracking system up to date with case status.

• Participates in monthly conference calls and annual training events.

  Other Job Requirements

Responsibilities

Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.

Must hold a current and active license as an LCSW, LMFT or RN.

Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently.

Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.

Must have home visitation experience.

Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.

Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.

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.

Working under time pressure.

Working rapidly for long periods to meet deadlines.

Must be able to travel as needed and adhere to AFSC travel policies and procedures.

Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.

Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.

General Job Information

Title

New Parent Support Program Child and Family Specialist, FASS

Grade

21

Work Experience - Required

Child Welfare

Work Experience - Preferred

Education - Required

Bachelors - Nursing, Masters - Counseling, Masters - Social Work

Education - Preferred

License and Certifications - Required

LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - 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

Job Description

Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members' adaptation to military life, enhance the knowledge and skills for healthy relationships that can provide safe, nurturing environments for children to prevent family violence. Provide activities and services including information and referrals, parenting programs, respite care for children, and supervised play time for children. Families with children prenatal to 3 years old who have been assessed as being at risk for child maltreatment and/or Family violence can benefit from additional, more-intensive support from these services.

• Provides effective, timely and confidential services for Families who have been assessed as being at risk for child maltreatment and/or Family violence.

• Protects the privacy and confidentiality of client information.

• Identifies and reports suspected child abuse and neglect and domestic abuse.

• Assesses developmental milestones and referral procedures for indicators of special needs or developmental delays.

• Assesses and strengthening adaptation to parenthood.

• Assesses and strengthening parental capacity for problem-solving, building and sustaining trusting relationships, and seeking help when necessary.

• Promotes developmentally appropriate parenting skills and disciplinary techniques, and parent and child communication skills.

• Facilitates informal and formal community networks to build positive relationships and reduce social isolation.

• Develops relationships with local community and military installation officials and organizations that can maximize program effectiveness.

• Utilizes community-based services and formal and informal community networks to provide concrete support for families who may be in crisis.

• Utilizes methods for screening for, assessing, and addressing protective and risk factors associated with child abuse and neglect using a strengths-based Family centered developmental approach.

• Keeps tracking system up to date with case status.

• Participates in monthly conference calls and annual training events.

  Other Job Requirements

Responsibilities

Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.

Must hold a current and active license as an LCSW, LMFT or RN.

Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently.

Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.

Must have home visitation experience.

Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.

Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.

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.

Working under time pressure.

Working rapidly for long periods to meet deadlines.

Must be able to travel as needed and adhere to AFSC travel policies and procedures.

Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.

Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.

General Job Information

Title

New Parent Support Program Child & Family Specialist

Grade

21

Work Experience - Required

Child Welfare

Work Experience - Preferred

Education - Required

Bachelors - Nursing, Masters - Counseling, Masters - Social Work

Education - Preferred

License and Certifications - Required

LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - 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

Job Description

Provides 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.

• 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.

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

• Assist in the mentoring and training of new staff.

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

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

• Demonstrate 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.

• Lead or participate 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's 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 bilingual.

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.

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 - Armenian Bilingual Remote

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

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

Provides professional military personnel support services to the U.S. Navy's Identification Card Administration (ICA) program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System (RAPIDS) sites.

• Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC).

• Delivers ID Card services to all personnel assigned to support customer commands, other military service personnel, retirees and their dependents, and contractors verified through the Trusted Associate Sponsorship System (TASS).

• Performs as a Verifying Official (VO) on DEERS/RAPIDS terminal and ensures inputted data for accuracy and correctness.

• Verifies the identity and eligibility of authorized DoD beneficiaries, issues DoD Identification Cards and performs DEERS updates in accordance with DoD regulations and AFI 36-3026.

• Issues and strictly controls Armed Forces identification and privilege cards for all eligible personnel, (i.e., active duty military, retired military, 100% Disabled American Veteran (DAV) and respective dependents and verified contractors.

• Operates and maintains RAPIDS workstations, processes CACs, assists customers with questions concerning identification card eligibility, application requirements and DEERS, and answers telephone inquiries.

• Accomplishes DEERS enrollment and updates for all eligible beneficiaries, reconciles erroneous DEERS information, performs PIN resets, verifying and updating PKI certificates, and provides other ICA services as necessary.

• May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC and related consumable materials.

• Maintains RAPIDS equipment within the physical parameters and configurations established at the time of installation.

• Performs -User Maintenance on RAPIDS equipment.

  Other Job Requirements

Responsibilities

High School diploma or equivalent.

1+ years' experience in a Customer Service environment.

HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.

Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.

Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.

Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.

Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.

Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

Part Time Intermittent ID Card Specialist (Personnel Assistant II), NAVY ICA

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

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 covered under a Collective Bargaining Agreement.

This position is in support of Cook CDC on base at Fort Bragg. Candidates must be local to Fort Bragg and licensed at the independent level in the state of North Carolina as an LCSW, LMFT, or LCMHC.

Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to children of all ages of military service members and their families at military installations to include civilian expeditionary work force and their families (when activated). These services may include non-medical counseling, training/health and wellness presentations, consultation with parents, personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors will be assigned to child development centers, 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.

• 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 Child Development Centers (CDC), youth programs and summer camps as well as providing parent support, training and guidance.

• Provides training and health and wellness presentations, participate 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 on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Creates a presence in child and youth settings. Is available to children, youth, and staff. When working with children, 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 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 and in facilities to which the counselor is 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 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.

Minimum 2 years of post-masters supervised clinical experience.

Must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.

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

Understanding, sensitivity and empathy for children, 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.

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

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. 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 current immunizations or vaccinations and provide record of receipt.

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 Child and Youth

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

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

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

Family Advocacy Program Assistants (FAPAs) provides administrative, technical, and prevention services under the direction of the site Family Advocacy Officer (FAO). FAPAs will support all components of the FAP to include providing administrative assistance, records management, computer support, meeting preparation, assisting in research and evaluation, and assisting in administering and scoring instruments related to secondary prevention. FAPAs with the skill set to assist with prevention services and under direction of the site FAO, may assist with New Parent Support Program and FAP Outreach activities.

• Provides administrative, technical, and prevention services under the direction of the site FAO.

• Supports all components of the FAP to include providing administrative assistance, records management, computer support, meeting preparation, assisting in research and evaluation, and assisting in administering and scoring instruments related to secondary prevention.

• Assists with prevention services and under direction of the site FAO, may assist with New Parent Support Program and FAP Outreach activities.

  Other Job Requirements

Responsibilities

Associate's degree in Education or Teacher Certification Program, Social Behavior, Human Behavior, or Health Care.

Experience developing an education curriculum with learning objectives and outcomes are essential.

Critical the FAPA have a high proficiency in Microsoft Office and various database and software programs.

Shall be able to obtain and maintain a National Agency Check with Inquiries (NACI) Tier 1 Clearance.

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.

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

Before starting work, FAP personnel working with Military Treatment Facilities shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and proof of a negative TB skin test (completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months).

Basic Life Support Certification: At a minimum, all FAP personnel working within a Military Treatment Facility must maintain current certification in either the American Heart Association Basic Life Support Course (BLS) (Course C) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS (Heart Saver) Course.

General Job Information

Title

Family Advocacy Program Assistant (Secretary II), AFMRA

Grade

WDNAFMRAFAPA

Work Experience - Required

Work Experience - Preferred

Education - Required

Associates

Education - Preferred

License and Certifications - Required

BLS - Basic Life Support - 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

Job Description

This position is responsible for providing assistance with the resolution of authorization and/or claim issues in various work queues resulting from and calls taken from facilities and providers. Acts as liaison between providers, internal departments and specific accounts, clients, and claims department.

• Resolves cases in queue due to member eligibility issues, referring provider verification or request, imaging provider verification, redirection, and retro reviews.

• Assists with authorization problem resolution through research and facilitating the resolution of the problem in a timely fashion.

• Process, forward, trend, and maintain records of authorization issues.

• Acts as a troubleshooter to resolve problems among internal departments.

• Handles special requests from Customers requiring manual workarounds or specials projects.

• Investigates written/verbal complaints involving authorizations, and resolves complex issues with Customers and Providers.

• Assists specific accounts who have special processes.

• Observes and tracks authorization problem trends and works with internal department for resolution.

• Assists with User Acceptance Testing (UAT).

• Provides phone back-up coverage for other teams as needed.

  Other Job Requirements

Responsibilities

Ability to review and interpret multiple contract/account information to successfully resolve issues regarding benefit plan administration; experience with account benefit structures.

Demonstrated ability for problem solving, meeting deadlines, initiative and follow-through.

Excellent written and verbal communication skills.

Knowledge of pharmacy benefits management.

Understanding of customer service performance metrics (ASA, abandonment rate, talk time).

General Job Information

Title

Customer Resolution Associate

Grade

18

Work Experience - Required

Claims, Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

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

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

Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather additional clinical information to determine medication reimbursement. Recommendations will be based on an in-depth understanding of specific specialty medications and industry guidelines, on both pre- and post-service requests. Coordinates with operations, clinical, medical, reporting and other internal departments as needed.

• Reviews pertinent patient information and checks appropriateness using clinical criteria. Makes approval recommendations on all services that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer.

• Practices and maintains the principles of utilization management by adhering to the company policies and procedures. Upholds clinical integrity of pharmaceutical solutions by participating in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. Expert within the organization.

• Conducts Program Integrity Audits including outreach and review of medical records to audit authenticity of provider response during Prior Authorization and reporting results to client.

• Assists with the documentation and implementation of both written and verbal communications to physicians/prescribers and assists in the maintenance of the edits and data elements that support the edits.

• Available for consultation in pharmacy related questions to resolve claims submission related to medication edits.

• Contacts physicians/prescribers to obtain pertinent clinical history/information. Provides optimum customer service through professional/accurate communication while maintaining NCQA and health plan`s required timeframes.

• Regularly reviews and monitors information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.

• Supports Intake call volume and order entry if necessary.

• Determines eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enters approvals or denials in the system.

• Electronically documents both written and verbal communications with physicians, their staff, cardholders, and pharmacies.

• Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when further review is necessary.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

Must have an active pharmacy technician licensure or registration in accordance with state requirements.

If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).

In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).

Minimum of 5 years of pharmacy experience without a Bachelors degree OR 2 years of pharmacy experience with a Bachelors degree in Science, Health, Medical or related field.

Specialty or retail pharmacy experience, previous reimbursement experience, and/or working in a health plan/health care setting.

Experience as Pharmacy Technician, Utilization Management or Customer Service in a high-volume, multi-functional call center environment.

Must be comfortable with using computers and the internet; basic skills with Microsoft office products and ability to quickly learn proprietary systems, typing.

Strong team orientation with respect for all members.

Excellent verbal and written communications skills.

People skills are essential that allow for the successful consultation with physicians, prescribers and pharmacists and for successful collaboration with company employees and external vendors who do not directly report to this position.

Analytic skills which can translate into practical and pragmatic recommendations.

In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques and medical terminology.

General Job Information

Title

Initial Review Pharmacy Technician

Grade

21

Work Experience - Required

Pharmacy

Work Experience - Preferred

Education - Required

Education - Preferred

A Combination of Education and Work Experience May Be Considered., Associates, Bachelors

License and Certifications - Required

CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

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

Supports the ongoing transformation of our Talent Acquisition team by applying marketing methodology to the recruitment process. Provides operational leadership and uses in depth knowledge of social media, digital marketing, talent acquisition trends and recruitment technology to maintain our strong brand and drive exceptional talent to Magellan.

• Executes talent acquisition social media campaigns from set up and management to optimization and reporting, ultimately driving talent to the company's career site.

• Analyzes campaigns and translates anecdotal or qualitative data into recommendations and plans for revising social media, content marketing, search engine optimization (SEO) and social advertising campaigns.

• Partners with senior communications and marketing leads to ensure alignment with internal branding and to leverage internal talent to strengthen employer brand in the marketplace.

• Develops successful content marketing initiatives in all stages, from planning to execution and measurement (website, email, blogs, advertising, videos, infographics).

• Advocates for the company in social media spaces.

• Monitors effective benchmarks for measuring the impact of social media campaigns; analyzes, reviews and reports on the effectiveness of campaigns in an effort to maximize results.

• Implements the media planning process and determines strategic advertising and marketing practices that are within budget and produce a high-quality candidate pool while measuring on-going effectiveness.

• Develops external recruitment campaigns and programmatic advertising for both active and passive talent in partnership with marketing agency.

• Partners with Talent Acquisition (TA) and internal Marketing team to create exceptional external recruiting experiences including career events and conferences.

• Create and Execute a Diversity, Equity, and Inclusion strategy for hiring to include ongoing manger and recruiter training.

• Responsible for CRM Training, Service Delivery, and vendor management.

• Partners with vendors and systems teams on project implementations.

• Proposes annual budget spend and manages associated payments.

  Other Job Requirements

Responsibilities

7+ years of experience in some combination of Talent Acquisition Marketing/HR/Marketing/Employer Brand.

Bachelor's degree in Marketing, Communications, Liberal Arts or related field is required.

Knowledge of and experience in the tenets of marketing and talent acquisition.

Creativity and immersion in social media: LinkedIn, Glassdoor, Facebook, Twitter, You Tube, new and emerging platforms, and how each platform is best deployed.

Excellent communicator at all levels, both in writing and verbally.

Evidence of thought leadership in Talent Acquisition (TA) marketing, trends and developments.

Proficient in principles of Search Engine Optimization (SEO).

General Job Information

Title

Recruitment Marketing Director

Grade

29

Work Experience - Required

Marketing, Talent Acquisition/Recruiting

Work Experience - Preferred

Education - Required

Bachelors

Education - Preferred

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

Position responsible for the month end close and annual budget preparation for select departments. Responsible for financial analysis of applicable departments. This position generally responsible for more complex areas than are generally assigned to an Accountant I.

• Responsible for month end close for certain departments.

• Prepares accurate and timely journal entries, analyzes financial statements for reasonableness, explains budget vs. actual variances.

• Researches and reconciles general ledger balance sheet accounts

• Analyzes balance sheet accounts and determine corrective action if required

• Prepares special projects as requested by senior management

  Other Job Requirements

Responsibilities

A minimum of three years of prior general ledger and spreadsheet preparation experience.

Bachelor's degree required with a minimum of three years of accounting experience OR 10+ years of experience in lieu of degree.

Ability to handle multiple priorities and meet tight deadlines.

Demonstrated problem solving and organizational skills, strong communication skills (written and verbal) and comfortable communicating to all levels of management.

General Job Information

Title

Accountant II - Fully Remote

Grade

22

Work Experience - Required

Accounting

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelors - Accounting

Education - Preferred

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

Provides 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.

• 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.

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

• Assist in the mentoring and training of new staff.

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

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

• Demonstrate 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.

• Lead or participate 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's 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 bilingual.

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.

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 MediCal Punjabi

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

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

Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.

• Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.

• Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

• Conducts assessment, assists in program evaluation and supports research projects being conducted locally.

• Assists or provides program overview briefings to VIPs and high-ranking leaders when required.

• Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology.

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.

Experience and ability to work under time pressure.

Working rapidly for long periods to meet deadlines.

Must be able to travel as needed and adhere to AFSC travel policies and procedures.

Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.

Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.

Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.

Ability to manage multiple concurrent tasks and perform under stress.

Requires reading and comprehension proficiency.

Requires effective writing and problem solving skills.

Ability to maintain confidentiality.

Customer contact expertise.

Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

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 is a fully remote position for a Sr. Software Test Engineer.

Analyze Software under test and build, maintain an automated test infrastructure for a multi-platform product that will be used to validate all aspects of the product operation.

• Evaluate product functionality and create test strategies and test cases to assess product quality.

• Interpret and report testing results, and be a vocal proponent for quality in every phase of the development process.

• Establish processes and tools set to maintain automation scripts and generate regular test reports.

• Find, isolate, document, regress, and track bugs through resolution.

  Other Job Requirements

Responsibilities

4+ years of experience as a Software Engineer in Test (SET) or Software Development Engineer in Test (SDET).

4+ years of experience developing test automation using open source tools.

4+ years experience with Agile testing methodologies and best practices.

Proficient in automated testing strategies, including Test Driven Development (TDD), Acceptance Test Driven Development (ATDD) and Behavior Driven Development (BDD).

Programming experience in object-oriented languages or scripting languages (Java, JavaScript, Python, Ruby, Perl, and SQL), distributed systems and Unix-based systems.

Experiencing deploying advanced Programming and Cloud computing concepts, Software Architecture and Design Patterns.

Demonstrated Experience in Test Framework Design and Development.

General Job Information

Title

Senior Software Test Engineer - Remote

Grade

26

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelors - Computer and Information Science, Bachelors - Information Technology

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 managerial and clinical oversight of the Clinical Pharmacist and Registered Nurse Review Team, playing a key role in medical and pharmacy management. Leads and grows the clinical performance of a team of Clinical Pharmacist and Nurse Reviewers while supporting and enhancing provider experiences, meeting service level agreements, exceeding client expectations, and achieving revenue goals and operational objectives. Responsible for day-to-day tactical activities, performance trending, performance managing/coaching/developing clinical pharmacists/nurses and time management. Responsible for the delivery of superior customer service by maximizing employee clinical performance and ensuring calls are answered effectively and efficiently by supervising inbound and outbound calls, resolving escalated calls, assisting pharmacists/nurses with clinical and/or client related questions, auditing clinical notations for accuracy, ensuring agents adherence to schedules and ensuring compliance to policies, regulations, and procedures. Motivates agents to peak performance through positive coaching, constructive feedback and incentives, demonstrates a commitment to the company's mission and vision, and supports activities that strengthen the client relationship and grow the organization.

• Drives the daily performance of a team of Clinical Pharmacist and Registered Nurse Reviewers ensuring clinical criteria is accurately collected, notated, and recommendations appropriately made.

• Provides feedback and improvements in daily workflow with technicians/nurses/pharmacists.

• Collects and provides timely, productive and measurable feedback to ensure recognition, process changes and development opportunities are maximized.

• Oversees the team's annual goal setting process, performance evaluations and performance improvement plans, and ensures other business targets are met and exceeded.

• Reviews new and updated client accounts, medications and policies with pharmacists.

• Ensures compliance with clinical policies and procedures.

• Provides direction on achieving departmental standards while encouraging and motivating them in promoting customer loyalty, employee recognition, and revenue generation.

• Monitors inbound and outbound call traffic and makes adjustments based on call traffic patterns.

• Actively participates in process/project conversations, emails and activities that will improve effectiveness/experience for client, agents, leadership, brands or partner departments

• Displays ownership and accountability for the customer experience, employee relations, core business metric targets/contributing factors and understanding of the organizations policies and procedures.

• Supports team members, business and brand initiatives, especially as related to achieving outstanding client experiences, including engaged daily support, escalated customer resolution and engagement in training and support areas as needed.

• Maintains reliability and flexibility to ensure team and business needs are appropriately supported.

• Proactively addresses call center concerns and identifies areas of opportunity.

• Monitors agents for quality and training purposes.

• Handles system emergencies with direction from IT department and/or appropriate vendor.

• Daily authorization reviews, taking into account health plan requirements, including, but not limited to turn around times, type and number of outreaches made, review times, and regulations.

• Coordinates with Initial Review Pharmacy Technician team as needed.

• Produces monthly team reports detailing team activity, trend analysis, goals/objective status and special projects, as needed.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

5+ years of clinical pharmacy experience.

Managed care pharmaceutical service experience plus experience with coaching physicians and prescribers on medication issues, especially on specialty medications.

Knowledge of current clinical research related to specialty medications.

Strong clinical research and implementation skills in practical settings.

Analytic skills which can translate into practical and pragmatic recommendations.

Strong clinical expertise to aid in enhancing the team's clinical skills and knowledge

Strong team orientation with respect for all members.

Strong verbal and written communications skills.

People skills are essential that allow for the successful consultation with physicians, prescribers and pharmacists and for successful collaboration with company employees and external vendors who do not directly report to this job.

Must be comfortable with using computers and the internet

Basic skills with Microsoft office products and ability to quickly learn proprietary systems.

General Job Information

Title

Supervisor, Clinical Pharmacist Reviewer MediCal

Grade

30

Work Experience - Required

Clinical, Pharmacy

Work Experience - Preferred

Speciality Pharmacy

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

Pharmacist, Resident - MRx Residency Program - R00000050402 DESCRIPTION/RESPONSIBILITIES:This position is a full-time, temporary, one-year benefited position that will provide training in a variety of areas related to managed care. The resident will have learning experiences that include, but not limited to Pharmacy Operations, Formulary Management, Specialty Pharmacy, Government Programs, Integrated Care Management, Medication Therapy Management, P&T Committee Management, Quality Improvement, Business Management, etc. The resident is expected to perform with high expectations with significant amount of responsibilities. We view the resident as an integral part of the clinical team, and will be assigned tasks and projects that will stretch their abilities in order to develop into a competent managed care pharmacist.* P&T Committee participation* Formulary Management* Benefit Design* Specialty Pharmacy Management* Telephonic and Outpatient Clinic MTM Services* Student Precepting.* Participation in projects and clinical studies for presentation* Other related duties and projects, as assigned. Other Job Requirements ResponsibilitiesDoctor of Pharmacy (PharmD) from an ACPE accredited College of Pharmacy.GPA of 3.0 or higher.Eligible for Licensure in the State of Utah within the first 60 days of the program.3 Letters of Recommendation.Letter of Intent. General Job Information TitlePharmacist, Resident - MRx Residency Program Grade19 Work Experience - RequiredPharmacy Work Experience - Preferred Education - RequiredPharmD Education - Preferred License and Certifications - RequiredPharmD - Doctor Of Pharmacy, State Licensure - Pharmacy 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. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of schools affiliated with Moody AFB. Candidates must be local to the military installation and licensed at the independent level in the state of Georgia as an LPC, LCSW, or LMFT.

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 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

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 included in a Collective Bargaining Agreement

The position is located at Camp Lejeune. Candidates must be local to North Carolina or willing to relocate. Candidates must also be licensed at the independent level in NC as an LCSW, LMFT, or LCMHC.

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 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, or social work.

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 Family Life Counselor Embedded

Grade

MFLC Union (inactive)

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

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

Provides professional military personnel support services to the U.S. Navy's Identification Card Administration (ICA) program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System (RAPIDS) sites.

• Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC).

• Delivers ID Card services to all personnel assigned to support customer commands, other military service personnel, retirees and their dependents, and contractors verified through the Trusted Associate Sponsorship System (TASS).

• Performs as a Verifying Official (VO) on DEERS/RAPIDS terminal and ensures inputted data for accuracy and correctness.

• Verifies the identity and eligibility of authorized DoD beneficiaries, issues DoD Identification Cards and performs DEERS updates in accordance with DoD regulations and AFI 36-3026.

• Issues and strictly controls Armed Forces identification and privilege cards for all eligible personnel, (i.e., active duty military, retired military, 100% Disabled American Veteran (DAV) and respective dependents and verified contractors.

• Operates and maintains RAPIDS workstations, processes CACs, assists customers with questions concerning identification card eligibility, application requirements and DEERS, and answers telephone inquiries.

• Accomplishes DEERS enrollment and updates for all eligible beneficiaries, reconciles erroneous DEERS information, performs PIN resets, verifying and updating PKI certificates, and provides other ICA services as necessary.

• May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC and related consumable materials.

• Maintains RAPIDS equipment within the physical parameters and configurations established at the time of installation.

• Performs -User Maintenance on RAPIDS equipment.

  Other Job Requirements

Responsibilities

High School diploma or equivalent.

1+ years' experience in a Customer Service environment.

HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.

Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.

Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.

Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.

Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.

Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

Part Time Intermittent ID Card Specialist (Personnel Assistant II), NAVY ICA

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

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

Provides 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.

• 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.

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

• Assist in the mentoring and training of new staff.

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

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

• Demonstrate 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.

• Lead or participate 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's 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 bilingual.

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.

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 - Bilingual - Armenian

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

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

Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.

• Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

• Generates reports in accordance with care coordination goal.

  Other Job Requirements

Responsibilities

3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.

Experience in analyzing trends based on decision support systems.

Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.

Knowledge of referral coordination to community and private/public resources.

Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.

Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.

Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.

Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.

Ability to maintain complete and accurate enrollee records.

Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.

General Job Information

Title

Care Coordinator - Remote in NM, Las Cruces/Alamogordo

Grade

21

Work Experience - Required

Clinical, Quality

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

DL - Driver License, Valid In State - Other

License and Certifications - Preferred

CCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

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 Pope Army Airfield. Candidates must be local to the installation and licensed at the independent level in the state of NC as an LCSW, LMFT, or LCMHC.

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 Family Life 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

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 candidate will be responsible for facilitating client meetings and training for the Medi-Cal Rx teams.

Supervises the administrative and/or clinical support functions, staff actions, and paperwork for the regional service center (RSC). Responsible for purchasing and maintaining supplies, equipment, as well as budget expenses control. Responsible for the administrative services of medium to large regional service center. Selects, trains, and instructs administrative staff. Supervises, directs, and evaluates department's procedures. Standardizes office procedures and initiates local policy and procedures in conjunction with Corporate policy and procedures.

• Oversees and supervises office activities such as filing, word processing, records retention, data entry, duplication, claims, billing, faxing and mail distribution.

• Manages, instructs, and trains administrative staff.

• Uses word-processing, spreadsheet software or graphics software to create detailed, confidential documents.

• Coordinates or completes special projects according to manager's general instructions. May assist manager with more complex and detailed projects.

• Develops and maintains personnel information along with all aspects of personnel functions/paperwork for the RSC. Liaison between the RSC and Human Resources. May assist Corporate in directing the activities of human resources functions.

• Oversees the purchasing of office supplies and equipment as well as budget expense. Confers with office department regarding the purchase of office equipment.

• Provides management with direction on departmental functions and acts as liaison between office and other departments.

• Develops office procedures. Selects, trains, and instructs office staff. May develop sources of recruitment for personnel needs, including search firms, ads and temporary agencies.

• Helps plan budgetary needs for the office. Responsible for tracking and monitoring costs, budget exceptions, etc.

• Approves and places current and new staff in physical location and approves equipment needs.

  Other Job Requirements

Responsibilities

5-7 years of administrative/office management experience.

2-3 years of supervisory experience required.

Strong interpersonal, communication and supervisory skills are needed.

Ability to lead, motivate and direct administrative staff.

Excellent verbal and written communication skills.

Proficient with Microsoft Office suite.

General Job Information

Title

Supervisor, Administrative Services - Medi-Cal Rx

Grade

22

Work Experience - Required

Administrative Support, Supervisory

Work Experience - Preferred

Education - Required

Bachelors

Education - Preferred

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

Provides 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.

• 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.

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

• Assist in the mentoring and training of new staff.

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

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

• Demonstrate 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.

• Lead or participate 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's 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 bilingual.

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.

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 MediCal Spanish

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

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