Company Detail

Family Advocacy Program Assistant (Secretary II), AFMRA - Magellan Health Services
Posted: Apr 05, 2022 06:24
Tucson, Arizona

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Shared Services Coordinator - Magellan Health Services
Posted: Apr 05, 2022 06:24
Maryland Heights, Missouri

Job Description

This position is responsible for supporting the employer, commercial or health plan businesses with coordination of services. Responsible for locating available providers, facilities and scheduling appointments for clients related to EAP or Health Plan Services, outpatient managed care appointments and higher level of care bed searches. Completes requests for organizational and employee services to include, but not limited to scheduling: worksite and virtual trainings, customer training, critical incident response, single care agreements, crisis calls, webinars, health fairs, mindfulness, and other related presentations, or support services.

  • Links clients to appropriate services, information and materials within the community by conducting Community Resources searches.

  • Uses independent judgement to understand the logistics of available timeslots and if the location, distance and/or time of available appointments is a reasonable distance/timeframe to book an appointment.

  • Troubleshoots for client and/or business unit when an appropriate provider, type of service, or appropriate level of care cannot be readily found.

  • Completes service documentation accurately and timely in appropriate systems in accordance with policy/regulatory standards.

  • Assists in efforts to continuously improve by identifying inefficiencies and sharing ideas with management on how to better implement more efficient, more effective processes and/or procedures to provide better service to our clients.

  • Participates in activities as requested that help improve Shared Services overall performance and contribute to a high- performance team.

  • Demonstrates flexibility in areas such as job duties and scheduling to better serve members and help the company achieve its business and operational goals.

  • Meets and adheres to attendance and schedule, production and performance metrics, and quality goals.

  • Demonstrates respect, sensitivity, confidentiality, and understanding for the client's circumstance while maintaining professionalism.

  • Remains responsible for updating self on ever changing laws, policies and service delivery information to ensure accuracy when dealing with members and providers and procedures.

  • Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the role.

  • Adheres to professional standards as outlined by protocols, rules and regulations and our code of conduct.

  • All other duties as assigned.

Appointment Search:

  • Locates and coordinates all aspects of member provider appointments (urgent, routine, etc.) in compliance with individual company contractual requirements.

  • Reviews client eligibility, benefits and/or authorizations prior to scheduling services.

  • Locate member community resources

  • Locate 'higher level of care' placements (i.e., detox bed)

  • Compile medical vendor lists

  • Engage in live website 'chats' with members and providers

Customer Training:

  • Coordinates training requests with training team, account management, and customers.

  • Consults to ensure request and details meet customer expectations.

  • Hires trainers to meet parameters of customer training requests (time, location, topic, etc.).

  • Coaches trainers as needed.

  • Ensures trainers, account management and customers have resources and materials necessary to deliver training.

  • Maintains trainer network, screens new trainers, monitors trainer performance, and updates records.

  • Maintains training materials by updating listings in systems, codes for organization, applying custom branding, and providing utilization data.

  • Provides and supports reporting on customer satisfaction surveys and monthly/quarterly reporting.

Critical Incident Response (CIR) and Health Fairs:

  • Coordinates CIR/Health Fair requests with CIR team, account management, and customers.

  • Consults to ensure request and details meet customer expectations.

  • Hires providers to meet parameters of customer requests primarily with short TAT (time, location, intervention, etc.).

  • Coaches providers as needed.

  • Ensures providers, account management and customers have resources and materials necessary to deliver services.

  • Ensure appropriate pass off to 'after hours' teams for timely and accurate service fulfilment.

    Other Job Requirements

Responsibilities

2+ years of Call Center, customer service or shared services.2+ years of experience in a managed care environment, integrated medical & behavioral health care.Understanding of plan benefit structures, psychiatric terminology, medical terminology, and local communication resources.Knowledge of EAP/managed care business and service delivery.Possess service excellence attitude.Strong data entry and telephone skills.Working knowledge of Microsoft Office and ability to learn and utilize software applications.Excellent listening, comprehension, communication (verbal and written) problem solving and customer service skills.Experience handling high volume calls while maintaining a calm and friendly demeanor.Ability to maintain a flexible schedule.

General Job Information

Title

Shared Services Coordinator

Grade

19

Work Experience - Required

Clinical, Customer Service, Healthcare

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

License and Certifications - Required

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Customer Care Associate MediCal Spanish - Magellan Health Services
Posted: Apr 05, 2022 06:24
Rancho Cordova, California

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Customer Care Associate MediCal Spanish - Magellan Health Services
Posted: Apr 05, 2022 06:24
Rancho Cordova, California

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Customer Care Associate MediCal Spanish - Magellan Health Services
Posted: Apr 05, 2022 06:24
Rancho Cordova, California

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Victim Advocate, AFMRA - Magellan Health Services
Posted: Apr 05, 2022 06:24
Cannon AFB, New Mexico

Job Description

Provides Air Force (AF) personnel, their family members, or intimate partners who are victims of domestic abuse nonclinical emergent and urgent service through safety assessments and safety planning services. The Domestic Abuse Victim Advocate (DAVAs) promotes a coordinated community response to allegations of domestic abuse via providing a range of support and education services to victims during duty hours, as well as on-call emergency services after duty hours. This position provides comprehensive services 24 hours a day/7 days per week to assist and advocate for victims of domestic abuse and to ensure victims are connected with the appropriate resources to ensure their safety. The DAVA does not provide clinical treatment services.

  • Responds to calls IAW established protocols, maintains a record of calls, and provides the Family Advocacy Officer or designee a situational report the following duty day.

  • Partners with the Family Advocacy case manager, or mental health on-call provider if the treatment/case manager is unavailable, to establish current and effective safety plans. The victim's safety is the DAVA's top responsibility and priority. The DAVA shall review the Victim's Safety Plan during each victim contact. Establishes a Victim's Safety Plan on a case-by-case basis.

  • Develops safety plans based on initial and ongoing risk assessments. If imminent risk of serious harm or death is established, notify the FAO, law enforcement, and Command.

  • Includes children, if involved, in the process and evaluates physical safety and emotional well-being; refer involved children to the treatment/case manager for follow-on care.

  • Immediately reports any changes in the victim's circumstances that changes or impacts the safety plan to the FAP treatment/case manager or mental health on-call provider if the treatment/case manager is unavailable.

  • Determines victim's imminent risk of serious harm or death, risk factors will be assessed per the detailed job description.

  • Provides safety assessments and safety planning for comprehensive services to include emotional support, arrangement of transportation; accompany victims to medical, legal and/or law enforcement appointments, assist in securing protective orders, emergency food and/or shelter and information benefits.

  • Works directly with victims to ensure that expressed needs are advocated and presented to personnel at intervening agencies.

  • Assesses imminent risks for health and/ or safety of the victim and make referrals as appropriate.

  • Assists victims with navigating the system to obtain the services desired and refer victims to the appropriate services for continued care.

  • Ensures victims of domestic abuse receive sensitive, confidential with the exception of state, federal, and military reporting requirements and immediate comprehensive care and treatment needed to restore health and well-being.

  • Assists victims in developing safety plans, conduct a risk assessment, and provide emotional support, prevention awareness and education to victims.

  • Provides information on victim services and resources available on and/or off the installation.

  • Explains reporting options during the initial contact whenever possible to ensure that the victim makes informed decisions about whom to disclose information regarding the abuse.

  • Ensures that first responders, (Emergency Medical Services and or law enforcement etc.) when appropriate, are contacted immediately during emergencies and in situations where there is imminent harm to the victim or others.

  • Partners with the FAP treatment/case manager to support the victim and promote safety for the victim and children in the home. Briefs the treatment/case manager prior to the Clinical Case Staffing (CCS) so that the CCS team has the most current information on the victim and children for staffing.

  • Supports the Family Advocacy Outreach Manager (FAOM) in developing System Advocacy, Education and Public Awareness, and promoting a coordinated community response to domestic abuse.

  • Operates within established guidelines.

  • Other duties as assigned.

    Other Job Requirements

Responsibilities

A Bachelor's degree from an accredited university in any of the following disciplines: Social Work; Psychology; Marriage, Family, and Child Counseling; Counseling or Behavioral Science; Criminal Justice, or related field.Two years of experience assisting and providing advocacy services to victims of domestic abuse or sexual assault.Upon hire, or within six-months of hiring, must obtain the Basic Advocate credential with designation of Comprehensive Intervention Specialist as approved and offered by the National Advocate Credentialing Program, which is overseen by the National Organization for Victims Assistance.Before starting work, all FAP and DAVA 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).At a minimum, all FAP and DAVA 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.Shall be able to obtain and maintain a National Agency Check with Inquiries (NACI) Tier 1 Clearance. Proficient in the use of Microsoft Office Suite and have the ability to input, retrieve, and format documentation via various database/software.DAVAs shall have knowledge of military programs, organizations, chain of command, unit missions, life styles, and situations that contribute to family stress, problems and crisis situations.Possess the ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.Ability to work cooperatively with military and civilian medical, social service, law enforcement, and legal personnel on behalf of victims.Must possess and maintain a valid, unrestricted motor vehicle license.Must possess transportation to transport victim in crisis (non-emergent) situations as a last resort.Must be able to provide on-call 24 hours/7 days per week victim advocacy services.Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Ability to work under time pressure. and rapidly for long periods to meet deadlines.

General Job Information

Title

Victim Advocate, AFMRA

Grade

WDNAFMRADAVA

Work Experience - Required

Victim Advocacy

Work Experience - Preferred

Education - Required

Bachelors - Behavioral Health

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

School Military Family Life Counselor - Magellan Health Services
Posted: Apr 05, 2022 06:23
Fort Bragg, North Carolina

Job Description

This position is included in a Collective Bargaining Unit.

This position is working at Jack Britt High School in affiliation with Fort Bragg. Candidates must to be local to the position and licensed at the independent level in the state of North Carolina as a Social Worker (LCSW); Therapist (LMFT); or Mental Health Counselor (LCMHC).

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

School Military Family Life Counselor

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Billing Specialist - Upfront - Magellan Health Services
Posted: Apr 01, 2022 08:00
Orlando, Florida

Job Description

Responsible for timely and accurate client record maintenance. Support Client Billing and remittance. Research and resolve questions, complaints and grievances and ensure information in all databases is accurate and properly configured to support operations and properly record revenue. Support Management by communicating report results through meetings/e-mails to help mitigate revenue risks. Record all contracting information regarding billing and adheres to Sarbanes Oxley Policies for Employer Solutions.

  • Ensures Billing System is updated timely, appropriately and accurately to support accurate Client Remittance and proper revenue recognition for assigned Clients including all new business. Ensures timely deliver of billing cycled invoices to Clients.

  • Prepares fee for service spreadsheet for billing and includes the individual billing to all customers.

  • Researches and responds in a professional and timely manner to inquiries from both clients and other Internal Staff.

  • Researches information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and in writing. Communicates with Account Executives to ensure that Client data is gathered in a timely manner.

  • Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately support all other system related functions.

  • Follows through on additional requests/projects as requested by Management.

    Other Job Requirements

Responsibilities

1+ Years Accounts Receivable experience including Billing, Reconciliations, and Collections.Intermediate level MS Excel, Ten-Key by touch, must be detail oriented, decipher contract language, and compute billing adjustments manually.

General Job Information

Title

Billing Specialist - Upfront

Grade

17

Work Experience - Required

Finance

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Clinical Pharmacy Technician II - Magellan Health Services
Posted: Apr 01, 2022 08:00
Orlando, Florida

Job Description

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

  • Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.

  • Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.

  • Escalates requests to Pharmacist when request requires extensive clinical review or denial.

  • Monitors telephone system to ensure adequate staffing to maintain client services levels.

  • Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.

  • Demonstrates, advocates and reinforces a positive team environment.

  • 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).Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.Excellent written and verbal communication skills.Ability to follow clinical criteria and instructions to approve prior authorization requests.Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.Ability to identify and trouble-shoot problematic issues.

General Job Information

Title

Clinical Pharmacy Technician II

Grade

18

Work Experience - Required

Pharmacy

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Senior Network Engineer - Fully Remote - Magellan Health Services
Posted: Apr 01, 2022 07:59
Maryland Heights, Missouri

Job Description

Magellan Health is looking for a Sr. Network Engineer / Infrastructure Engineer who will be responsible for analyzing problems and administering more than one infrastructure area.

This is a fully remote position, allowing you to work from the comfort of your own home from anywhere in the US.

Experience should include:

- Cisco router and switch experience - Cisco ASA and AnyConnect VPN, - Cisco ISE NAC- DNS, BGP, IPv4- Monitoring and event management tools

Candidate must be available for 24x7 support of On-Call rotation 1 week a month.

This position will analyze problems and administer more than one infrastructure area. Will understand and develop non-functional requirements for a system. This role is proficient at DevOps concepts, Scripting and automated deployment, monitoring and support. Will execute day to day tasks related to operational or project work. Contribute to 24x7x365 days of on-call staff coverage.

  • Performs daily database and database application support which includes the following tasks: Contributing to 24x7x365 staff coverage, Oracle, SQL Server, MongoDB and MariaDB, MySQL, Hadoop, Redshift, AWS EMR database and application server administration.

  • Assists with all duties related to on-going operational database infrastructure on premise and in the cloud.

  • Creates and maintains database objects.

  • Monitors, troubleshoots and resolves failed tasks or database issues.

  • Creates databases, database clusters, assign permissions and resolve connectivity issues.

  • Assists IT management in prioritizing database administration team projects.

  • Monitors database storage allocation and usage daily as well as other resource usage.

  • Assists with backup standards and schedules, and recovery procedures.

  • Develops security plans, testing and maintenance. Intent of this security plan is to establish a means of providing complete accountability for any and all use of the databases.

  • Develops and maintains the portions of the disaster recovery plan that pertain to the database servers and provide documentation of the steps necessary to perform the disaster recovery process. This documentation must provide detailed instructions on how to perform the disaster recovery plan at a level of explanation that any member of IT would be able to perform the steps.

  • Advises developers/end users on issues such as database design and application architecture.

  • Provides performance turning related to database technology and database/server configuration.

  • Provides Technical guidance to teammates.

  • Exports/Imports data and data replication.

  • Schedules Jobs and Events.

  • Manages special projects as assigned.

    Other Job Requirements

Responsibilities

3+ years minimum experience deploying and/or administrating infrastructure solutions or database administration. Strong working knowledge of automated deployment and Cloud platforms.AWS Sysops certification or certifications in VMware, Microsoft, Cisco, Avaya, Oracle, SQL Server.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.Willing and able to quickly learn new technology.

General Job Information

Title

Senior Network Engineer - Fully Remote

Grade

27

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelors - Computer and Information Science

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Director, Program Portfolio Management - Magellan Health Services
Posted: Mar 30, 2022 23:30
Glen Allen, Virginia

Job Description

This position is responsible for overseeing, managing and leveraging parts of the life cycle of IT investments in infrastructure and systems-from defining and targeting the investment mix, to planning the portfolio structure and packaging, to communicating the portfolio plan and measuring results. This is a key role in the strategic planning process for the IT organization. Works with and advises these individuals and groups on how enterprise priorities link to technology investment, and the risks and benefits of specific portfolio activities. Works with the IT organization and other stakeholders to develop, prioritize the IT and business portfolio. Analyzes portfolio performance, and recommends changes in investment mix to achieve goals. Proactively identifies opportunities for improving IT portfolio performance to provide a competitive advantage to the business. Managing teams with focus on policy and strategy implementation and control rather than development; short-term operational/tactical responsibilities.

  • Demonstrates knowledge of several business areas processes, procedures and functions.

  • Ensures that intended business benefits are met.

  • Provides transformative leadership and program/project management for strategic projects and support the development and standardization of project management processes, tools and best practices.

  • Manages a portfolio of projects in a coordinated way to ensure alignment with organizational strategies and to ensure the realization of prioritized and quantitative benefits.

  • Identifies key stakeholder project objectives and requirements and provide strategic and tactical leadership on programs/projects.

  • Ensures assigned individuals are executing the identified and assigned tasks and providing appropriate tracking and reporting per plan.

  • Directs all phases of projects demonstrating proficiency in project management areas in accordance with accepted project management standard in the industry.

  • Provides in-depth analysis of projects culminating with lessons learned for incorporation into future project plans.

  • Ensures assigned individuals are executing the identified and assigned tasks and providing appropriate tracking and reporting per plan.

  • Influences changes/enhancements to business processes, policies, and system infrastructure.

  • Manages the selection, evaluation, contracting, and integration of externally available hardware, software, and data to deliver business solutions.

  • Directs and manages though analysis, planning, design, development, testing, installation, and maintenance of support systems for business areas.

  • Selects and builds strong teams through formal training, diverse assignments, and coaching, mentoring, and other development techniques.

  • Manages and develops project cost estimates, benefits and assessment of potential project risks.

  • Manages projects, people, customer expectations, and business priorities to achieve customer satisfaction.

  • Manages budgets, plans and expenses; may have cost center responsibilities.

  • Oversees throughput for encounter processing acting as liaison between the customer and Magellan IT teams.

  • Oversee and act in review board fashion for reports delivered from Magellan to the customer.

  • Manage vendors.

  • Shares best practices throughout IT.

  • Agile:

  • Coaches and mentors IT and Business staff in lean/Agile methods.

  • Drives servant leadership and coaches other IT Project Managers on this quality.

  • Empowers the teams to be self-organizing.

  • Empowers the teams and stakeholders to make decisions.

  • Measures and reports progress frequently using agile metrics.

  • Creates Product Roadmap and Release Plan in partnership with POs and IMs.

  • Coaches and leads coordinating practices in Agile methods such as Release Planning, Iteration Planning, Grooming etc.

  • Coaches and assists Product Owners in prioritization, 3-Amigo Reviews and other PO activities.

  • Leads and facilitates Scrum of Scrums with related projects/teams.

  • Traditional:

  • Coaches IT PMs in developing and maintaining project charters, detailed project plans, weekly status updates and problem resolution.

  • Coaches IT PMs in creation and maintenance of WBS, RACI, Stakeholder Register and detailed Project Management plan.

  • Coaches IT PMs in management of dependencies across projects.

  • Coaches IT PMs in performing Root Cause Analysis.

  • Develops and leads the establishment and facilitation of internal IT project management processes and tools (i.e. critical path tracking, contingency planning, operational workflow documentation/refinement.)

    Other Job Requirements

Responsibilities

10+ years of experience in Project Management and leading large project teams through the development and support of applications. Broader experience across IT or across different industries (for external hires) is a must. Must have 2+ years of experience leading teams.Experience in health care, insurance or related field.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.Ability to coach and build skills within the team.

General Job Information

Title

Director, Program Portfolio Management

Grade

31

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelors - Computer and Information Science

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Part Time Intermittent ID Card Specialist (PA II), NAVY ICA - Magellan Health Services
Posted: Mar 30, 2022 01:11
Key West, Florida

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 (PA 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Dynamics CRM Technical Analyst - Magellan Health Services
Posted: Mar 30, 2022 01:11
Scottsdale, Arizona

Job Description

Preferred Education:

  • Minimum Bachelor's Degree in Information Technology or related field

  • Minimum 3 years' experience with Microsoft CRM 2016/Dynamics 365

  • Healthcare experience preferred

  • Microsoft Dynamics 365 certification(s) preferred, but not necessary

Responsible for leading and facilitating the analytics, decision support, and research functions of the assigned department.

  • Creates, analyzes, and distributes monthly, quarterly and annual reports and analyses for required reporting activities. Extracts, prepares, analyzes, validates and presents data for standard and ad hoc reporting.

  • Interprets, analyzes, and makes recommendations regarding data accuracy and data collection needs and processes. Develops and implements plans, and proactively seeks ways to enhance overall unit reporting needs and abilities.

  • Facilitates reporting efforts, by utilizing SQL or other related data query tools, in order to generate reports or retrieve data from the company's data warehouse and other distributed databases.

  • Coordinates application enhancements and edits to promote data quality with the IT department.

  • Mentors peers and co-workers as appropriate.

  • Plays a lead role in prioritizing and coordinating projects and report development efforts.

  • Provides direction and coordination for the tracking and analyses of audit findings and report generation.

    Other Job Requirements

Responsibilities

7 or more years of experience performing statistical analysis and the use of statistical packages required.May consider an additional 3-4 years of relevant experience in lieu of Bachelor's degree.Statistics, research, information systems or health services related field, such as Public Health, Health Science, Psychology, with reporting and analytical emphasis, research evaluation and/or experimental design.Strong writing, verbal communication and presentation skills essential.Strong leadership, process improvement, time management, and project management skills.Must be able to manage multiple tasks.Must be able to provide accurate estimates of work effort and deliver results within a committed time frame.Must be able to work independently and with minimal supervision.Requires strong expertise in MS Excel and relational database such as MS Access and other database management (MS SQL) and reporting tools. Ability to use reporting software such as Actuate, Cognos, Crystal reports, SAS, or other.Ability to query the company's data warehouse and/or department systems in response to data requests.

General Job Information

Title

Dynamics CRM Technical Analyst

Grade

26

Work Experience - Required

Analytics/Informatics

Work Experience - Preferred

Managed Healthcare

Education - Required

Bachelors, Bachelors - Business Administration, Bachelors - Computer and Information Science, Bachelors - Information Technology, Bachelors - Mathematics

Education - Preferred

Masters

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

System Navigator, EFMP - Magellan Health Services
Posted: Mar 30, 2022 01:10
Fort Riley, Kansas

Job Description

The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between families who have special needs and the systems of required care. Assigned functions of the position include intake; identification of the Family members needs assessment, referral, follow-up, advocacy, and monitoring of outcomes; and collaboration with military and civilian community resources.

  • Briefs family readiness staff and others upon request.

  • Represents the program at installation coordinating committees.

  • Manages the Soldiers and Family member records in accordance with DoD and Service regulation.

  • Transfers records to the appropriate program personnel when transitions occur.

  • Collects and analyzes data for planning, reporting, and program improvement.

  • Ensures all designated reports are submitted to Service Headquarters as required.

  • Remains informed regarding recent research and policies.

  • Monitors, evaluates, and enhances program services to meet the needs of Families.

  • Develops partnerships with military and civilian agencies and offices (local, state, and national).

  • Improves program awareness.

  • Provides information updates to Families.

  • Hosts and/or participates in program Family events.

  • Implements policies, procedures, and practices that connect Families to support services.

  • Partners with Families to increase resilience, develop self-advocacy skills, and improve their ability to navigate systems effectively.

  • Provides Families with current information and assist Families in connecting to resources.

    Other Job Requirements

Responsibilities

United States citizen.Bachelor degree in social work, psychology; marriage, family, and child counseling; counseling or behavioral science; education; or community health or public health.Minimum one year experience in Family and children's services or community organization.Knowledge of human service principles and practices, individual Family needs and problems relative to case management and changing social patterns, knowledge of military and civilian community (local, state and Federal programs), their mission and relationship to readiness, retention and resiliency.Knowledge of military, state and Federal laws, policies, regulations and practices regarding medical, educational and Family support services, knowledge of available medical, special education and community support programs and services.Knowledge of military and civilian community (local, state, and Federal programs), their mission and relationship to readiness, retention, and resiliency.Ability to research, analyze, and conduct studies to evaluate effectiveness of program operation, resolve problems, and develop a comprehensive coordinated Family Service Plan.Ability to plan, organize and analyze work assignments to determine appropriate course of action.Shall have skill levels to provide professional non-clinical case management services, facilitating connections between Families who have special needs and the systems of required care.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 workdaysAbility 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

System Navigator, EFMP

Grade

19

Work Experience - Required

Behavioral Health

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

School Military Family Life Counselor - Magellan Health Services
Posted: Mar 30, 2022 01:10
Fort Bragg, North Carolina

Job Description

This position is included in a Collective Bargaining Agreement.

This position is in support of Rockfish Hoke Elementary School in affiliation with Fort Bragg. Candidates must be local to Fort Bragg and licensed at the independent level in the state of North Carolina as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LCMHC).

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

School Military Family Life Counselor

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Part Time New Parent Support Home Visitor, FASS - Magellan Health Services
Posted: Mar 30, 2022 01:10
Fort Bragg, North Carolina

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

Part Time New Parent Support Home Visitor, 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Rebate Specialist - Magellan Health Services
Posted: Mar 30, 2022 01:10
Glen Allen, Virginia

Job Description

This position is responsible for managing day-to-day operations for manufacturer invoicing and working directly with manufacturers to resolve any issues. Will remain up-to-date on current processes and concerns. Will be required to consistently meet established timeliness for service level agreements and quality objectives.

  • Maintains a clear understanding of rebate client contractual requirements, ensuring compliance with service level agreements.

  • Understands and adheres to departmental policies and procedures.

  • Processes quarterly manufacturer rebate invoicing for assigned clients or manufacturers.

  • Reviews invoicing practices, including pre-invoicing quality reviews and adjustments for fee for service, managed care, diabetic supply and supplemental rebate programs.

  • Produces reports, including federal rebate 64.9R.

  • Works directly with manufacturers pertaining to dispute resolution.

  • Acts as primary contact for manufacturers to answer/resolve rebate questions.

  • Conducts quality validation and approval of claim files.

    Other Job Requirements

Responsibilities

2+ years of experience in customer support, analysis or business, preferably within a financial environment.Associate's degree required or an additional 2 years of relevant experience in lieu of degree.Strong verbal and written communication skills.Strong working knowledge of Microsoft Word and Excel.

General Job Information

Title

Rebate Specialist

Grade

19

Work Experience - Required

Customer Service, Operations

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

CPT - Certified Pharmacy Technician - 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

IT Business Analyst Lead - Magellan Health Services
Posted: Mar 30, 2022 01:10
Scottsdale, Arizona

Job Description

Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects. Maintains and monitors reporting queues and requests (if appropriate), and internal share point sites. May participate in full life cycle development by performing requirements analysis, process development and design, and testing using development methodology. Collaborates with functional teams, as well as with IT business analysts and programmers to develop detailed design specifications according to standards.

  • Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis and testing (including reasonableness checks) using software development methodology to provide efficient, cost-effective solutions as directed.

  • Identifies impact of solutions on existing and future systems.

  • May perform operational activities.

  • Creates and maintains standard related reports to support operational and development needs.

  • Manages reporting and requests for ad hoc reports to support sales, implementation, new product development, specials.

  • Queries data warehouse and internal databases and prepares user friendly reports according to requestors' requirements.

  • Creates and maintains internal management tools and databases to support CQI, rates, workflow business rules and system configuration, reimbursement and document management requirements.

  • Develops and maintains project plans.

  • Manages small to medium sized projects, system enhancements impacting data management.

  • Conducts root cause analyses, gathering data to pinpoint problem areas on which to focus, validating that the analysis is data driven, recommending and implementing solutions and evaluating those results, and implementing controls to monitor consistent use of the solution.

  • Participates in design plans for implementation, produces user documentation and training materials.

  • Responsible for keeping up with latest software trends.

  • May conduct end user training.

  • Provides status reports that give a detailed description of the current project's progress and indicates time devoted to each task of the project; leads status meetings, creating agendas and documenting meeting minutes as needed.

  • Identifies reporting needs based on system configuration and workflows and documents reporting requirements and testing of new reports in development prior to implementation to Production.

  • Participates in initiatives or projects that support process improvements, leveraging new system capabilities or the integration of data/other applications into existing systems.

  • Performs other duties as assigned.

    Other Job Requirements

Responsibilities

7+ years of directly related experience.Related professional experience in the managed care, healthcare, or insurance industries.Analytical/problem solving skills, excellent verbal and written communication skills, strong PC background, efficient in using standard software.Knowledge of system process analysis and/or program management, estimating IT system development and testing.For positions supporting Medicare, requires 5+ years of experience working in Medicare Operations.

General Job Information

Title

IT Business Analyst Lead

Grade

27

Work Experience - Required

Business Analysis

Work Experience - Preferred

Education - Required

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

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Care Manager, BH (UM/Triage) - CA Licensed - Remote - Magellan Health Services
Posted: Mar 30, 2022 01:10
San Diego, California

Job Description

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

  • Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.

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

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

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

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

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

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

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

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

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

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

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

    Other Job Requirements

Responsibilities

Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatient setting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

General Job Information

Title

Care Manager, BH (UM/Triage) - CA Licensed - Remote

Grade

23

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

General Clerk II, ARD-TS - Magellan Health Services
Posted: Mar 30, 2022 01:09
Fort Hood, Texas

Job Description

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

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

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

  • Orders office supplies as necessary.

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

  • Coordinates travel and lodging arrangements as needed

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

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

  • Establishes and maintains files, records and procedures manuals.

  • Performs other comparable duties as assigned.

    Other Job Requirements

Responsibilities

Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Ability to work under time pressure and rapidly for long periods to meet deadlines.Ability to manage multiple concurrent tasks.Ability to perform under stress.Reading, writing and comprehension proficiency.Problem solving skills.Ability to maintain confidentiality.Customer contact skills.

General Job Information

Title

General Clerk II, ARD-TS

Grade

WDNCSF2GCII

Work Experience - Required

Work Experience - Preferred

Education - Required

Associates

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

ID Card Specialist Lead (Personnel Assistant III), NAVY ICA - Magellan Health Services
Posted: Mar 30, 2022 01:09
Millington, Tennessee

Job Description

Serves as Lead ID card specialist and may operate as an autonomous service provider at a single-person site or as a Team Leader for sites with multiple ID card specialists. 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

ID Card Specialist Lead (Personnel Assistant III), NAVY ICA

Grade

WDNICAPAIII

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Field EAP Consultant - USPS/FOH - Magellan Health Services
Posted: Mar 30, 2022 01:09
Washington, District Of Columbia

Job Description

Must have clinical license in Washington, DC.

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

  • Provides employee consultation related to specific personal problems and concerns. Provides crisis assessment and intervention as needed.

  • Completes clinical and administrative documentation and required forms in a clear and concise manner. Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

  • Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care. Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues. Provides information and referral to community resources as appropriate. Provides clinical consultation/staffing in absence of EAP Manager.

  • Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

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

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

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

    Other Job Requirements

Responsibilities

Minimum of 5 years of clinical experience after receiving the graduate degree.Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.Strong customer service skills required.Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.Interacts effectively at all levels both within the company and with external customers.Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing. Uses time to manage caseload and documentation effectively.Meets productivity targets and quality management expectations.Develops effective working relationships with peers within and across organizational lines.Effectively resolves individual conflicts. Supports department mission and keeps management informed of team issues.Takes responsibility for own development and stays current on skills and techniques needed to perform job.Adjusts well to new situations and changing priorities.Comfortable with ambiguity and stress while handling a variety of assignments.Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

Field EAP Consultant - USPS/FOH

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

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, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

Care Manager, Health Plan - Magellan Health Services
Posted: Mar 30, 2022 01:09
San Diego, California

Job Description

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, review member records, and work in conjunction with primary care, community benefits, and other support opportunities to develop a long term care plan to guide the member through their mental health care. Oversees the work of its assigned care support team and work with non-licensed support staff to meet standards of care and performance set by Member Market Leads and the Care Management Center of Operational Excellence (CoOE) Lead.

  • Accountable for all Care Management activities for assigned high and moderate members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple clinical, social, and community resources.

  • Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and moderate member need.

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

  • Develops, documents, implements, and communicates the patient-centered care plan, which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs

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

  • Serves as an accountable member of the care team to oversee appropriate rendering of services, e.g., during transitions in care or transition to home care, back up plans, community-based services, etc.

  • Oversees and effectively manages work assigned and conducted by assigned care support team

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

  • Acts as an advocate for members' care needs by identifying and addressing gaps in care.

  • Performs ongoing monitoring of member's care plan and measures the effectiveness of interventions as identified; develops plans that strive to meet Magellan developed KPIs in accordance with the CM CoOE Lead and Member Market Leads.

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

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

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

    Other Job Requirements

Responsibilities

Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees, LMSW, LCSW, LPC, or RN.Minimum 5 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Ability to manage and oversee activities of assigned care support teams.Experience with Care Management flows.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatient setting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.Understanding of plan benefit structures, psychiatric/medical terminology, call center terminology and operations.Strong written and verbal communication skills.

General Job Information

Title

Care Manager, Health Plan

Grade

24

Work Experience - Required

Behavioral Health, Healthcare

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, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

ID Card Specialist Lead (Personnel Assistant III), NAVY ICA - Magellan Health Services
Posted: Mar 28, 2022 23:23
Portsmouth, Virginia

Job Description

Serves as Lead ID card specialist and may operate as an autonomous service provider at a single-person site or as a Team Leader for sites with multiple ID card specialists. 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

ID Card Specialist Lead (Personnel Assistant III), NAVY ICA

Grade

WDNICAPAIII

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



Job Detail

EAP Consultant, Federal - Magellan Health Services
Posted: Mar 28, 2022 23:22
China Lake, California

Job Description

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

  • Provides employee consultation related to specific personal problems and concerns. Provides crisis assessment and intervention as needed.

  • Completes clinical and administrative documentation and required forms in a clear and concise manner. Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

  • Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care. Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues. Provides information and referral to community resources as appropriate. Provides clinical consultation/staffing in absence of EAP Manager.

  • Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

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

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

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

    Other Job Requirements

Responsibilities

Minimum of 5 years of clinical experience after receiving the graduate degree.Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.Strong customer service skills required.Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.Interacts effectively at all levels both within the company and with external customers.Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing. Uses time to manage caseload and documentation effectively.Meets productivity targets and quality management expectations.Develops effective working relationships with peers within and across organizational lines.Effectively resolves individual conflicts. Supports department mission and keeps management informed of team issues.Takes responsibility for own development and stays current on skills and techniques needed to perform job.Adjusts well to new situations and changing priorities.Comfortable with ambiguity and stress while handling a variety of assignments.Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

EAP Consultant, Federal

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

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, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911



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