Company Detail

Job Description

Interested in fully remote opportunity as a Lead IT Analyst while working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future!

Looking for a Business Systems Analyst with:

• Meticulous attention to detail; the ability to juggle many tasks in parallel while delivering high quality results- Someone who can work and collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery- Someone who can drive the software development process toward quality-centric methodologies

• Experience in working in a team environment to support managed care vendors to implement solutions for pharmacy Claims Processing, Provider Operation Management, Member Management, and other Pharmacy benefit management Subject areas.

• At least 5+ years of experience in analyzing various NCPDP transactions, 3 + years of experiencing in Pharmacy Claims Processing, Provider Operation Management, or Member Management is required.

This position will analyze, evaluate and design/redesign business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Provide coaching and mentoring to more junior staff. Work with a variety of development roles to understand the overall technical architecture and how each feature is implemented. Is highly collaborative and comfortable communicating cross-functionally and across management levels in formal and informal settings. Have strong analytical skills and a relentless determination to do what is right for customers. Good at multi-tasking, juggling competing priorities, and organizing oneself. Deep understanding of the business/technical domain.

• Lead design, planning, and implementation of requirements to satisfy business needs.

• Authority on best practices of requirements gathering, business system configuration and defining/execution of acceptance criteria.

• Work with the technical teams and the business/product owner to ensure efficiency, smooth and successful implementation.

• Coach and mentor junior staff in requirements documentation, systems configuration, defining/execution of acceptance criteria and establishing, tracking, measuring and refining metrics.

• Improve product feature offerings by providing feedback to internal cross-functional teams including IT Project Manager, Business/Product owner and Software Engineering.

• Identify, drive, and optimize technical and business process flows for existing and new opportunities.

• Partner with teams to define systems improvement focusing on scale, efficiency, and automation.

• Work with internal business groups to acquire a deep understanding of their processes and operations.

• Understand software internals, debug problems using log files, and write automated tests with Perl/JavaScript and/or user-level test automation tools.

• Strong organizational skills, tracking multiple test executions simultaneously and be able to synthesize the results.

• Meticulous attention to detail; the ability to juggle many tasks in parallel while delivering high quality results.

• Works/Collaborates with Software Engineers to understand features and technical implementation and ensure highest quality product delivery.

• Drive the software development process toward quality-centric methodologies.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

5+ years related experience including a minimum of 2+ years developing requirements, designing and executing test cases in IT.Ability to synthesize complex information and explain it to others in technical and non-technical terms.Experience with a variety of QA methodology and problem solving tools/techniques.Detail-oriented person who is passionate about quality and is enthusiastic about the new technology offered to customers.Experience with and a passion for translating user-interface design into requirements and acceptance criteria.Ability to lead other team members through resolving challenges.Mastery of creating and executing test cases.Experience in Perl/Python/JavaScript scripting and user-level automation.Excellent customer experience intuition; demonstrated success in delivering a world-class customer experience.Experience with Lean methods.Experience with diagraming and visual communications. Certification in Training in Design Thinking.

General Job Information

Title

Lead IT Analyst - Remote

Grade

26

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelors - Computer and Information Science

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

• Company:
  Magellan Health Services

Job Description

Care Manager, BH - Newtown, PA - R00000047553 DESCRIPTION/RESPONSIBILITIES:Candidates must be local to Newtown, Pennsylvania. Candidates must have an RN or an independent-level Social Work or Behavioral Health license in the state of Pennsylvania - This can include LSW (required to have 2 years of post licensure experience), LCSW, LMFT, LPC. 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 RequirementsResponsibilitiesLicensure 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 outpatientsetting.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 InformationTitleCare Manager, BH - Newtown, PA Grade23 Work Experience - RequiredClinical Work Experience - Preferred Education - RequiredAssociates - Nursing, Bachelors - Social Work, Masters - Social Work Education - Preferred License and Certifications - RequiredCEAP - 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 O

Job Detail

• Company:
  Magellan Health Services

Job Description

Claims System Specialist II - R00000047655 DESCRIPTION/RESPONSIBILITIES:Provides support to Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations, providers, pricing, reporting and financial. Assist in testing and documenting of account specific benefits to ensure accurate claims adjudication. The position assists in ensuring system performance and resolution of system problems that may impede claims processing.* Assists in testing of system enhancements and modifications.* Assists with development of system enhancements and analysis of system performance.* Performs root cause analysis and resolve system problems identified by claims examiners or other internal staff.* Assists in testing and documenting of account specific benefits and system enhancements.* Performs audits of each changed or newly configured plan to ensure that benefits are added accurately and consistently across the various plans.* Analyzes structure to identify any issues or concerns with the benefit structure provided.* Interfaces with other departments to obtain information to resolve issues related to system enhancements and plan configuration.* Maintains working knowledge of multiple testing environments, multiple accounts and multiple job functions.* Provides backup support to other team/group members in the performance of job duties assigned. Other Job RequirementsResponsibilities* 5+ years claims processing experience.* Knowledge of ICD-9 and CPT coding terminology.* Knowledge and understanding of database management and documentation. General Job Information TitleClaims System Specialist II Grade19 Work Experience - RequiredClaims Work Experience - Preferred Education - Required Education - PreferredBachelors 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. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

Job Detail

• Company:
  Magellan Health Services

Job Description

Care Manager - R00000047532 DESCRIPTION/RESPONSIBILITIES:This position will work with community agencies and forensic partners as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Some knowledge and experience working with a forensic population is preferred. 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 RequirementsResponsibilitiesLicensure 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 outpatientsetting.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 InformationTitleCare Manager Grade23 Work Experience - RequiredClinical Work Experience - Preferred Education - RequiredAssociates - Nursing, Bachelors - Social Work, Masters - Social Work Education - Preferred License and Certifications - RequiredCEAP - 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

Job Detail

• Company:
  Magellan Health Services

Job Description

Supervisor Clinical Care Services - R00000048313 DESCRIPTION/RESPONSIBILITIES:Provides leadership and subject matter expertise in care coordination, clinical program concepts, methods, and activities for unlicensed teams. Builds successful relationships with behavioral health providers, physical health partners, community services and agencies.* Manage team members` performance through the review of qualitative and quantitative performance results on a regular and ongoing basis. Provide constructive feedback and set improvement milestones when indicated.* Regularly assess the clinical performance of staff via documentation audits, live service observations and other performance management tools.* Set clear performance expectations with team and communicate how performance goals are linked to organizational goals and values.* Motivate and encourage team members to excel. Create a team environment that contributes to a high degree of employee satisfaction.* Monitor individual team member reliability patterns and take corrective steps when indicated. Utilize the workforce management system to monitor schedule adherence and other work habits.* Recruit, interview, and select qualified clinical and nonclinical team members, take corrective action for team members who do not meet expectations.* Lead the clinical team in monitoring and managing care coordination for those members meeting level II or level III behavioral health needs. Oversee program functions such as timeliness of followup from the Health Reimbursement Agreement (HRA).* Completion and timeliness of the comprehensive needs assessment and the development and implementation of the treatment plan, including collaboration and sharing information with providers as needed for joint treatment planning and for transitions in care.* Use of reporting to monitor the TAT and completion of duties to meet the contractual requirements.* Ensures appropriate clinical supervision and case consultation for clinical staff.* Assists, on an as needed basis, in response to peak work periods.* Other duties as assigned. Other Job RequirementsResponsibilitiesAssociates level degree in mental health or related field.5 years post degree experience in a behavioral healthcare setting.Ability to function independently and as a team member, analyze specific utilization problems, plan and implement care coordination solutions while maintaining a good rapport and relationship with mental health and substance abuse providers.Considerable skill in interpreting clinical records andtreatment information.Working knowledge Microsoft Office Suite. General Job Information TitleSupervisor Clinical Care Services Grade23 Work Experience - RequiredClinical, Supervisory Work Experience - Preferred Education - RequiredA Combination of Education and Work Experience May Be Considered., Associates Education - Preferred License and Certifications - Required License and Certifications - PreferredRN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

Job Detail

• Company:
  Magellan Health Services

Job Description

Care Manager - Behavioral Health - R00000047872 DESCRIPTION/RESPONSIBILITIES:Candidates must have one of the following licenses in the state of Pennsylvania: RN, LCSW, LPC, LMFT Candidates with experience with clients/members with serious and persistent mental illnesses are strongly preferred 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 ResponsibilitiesLicensure 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 outpatientsetting.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 InformationTitleCare Manager - Behavioral Health Grade23 Work Experience - RequiredClinical Work Experience - Preferred Education - RequiredAssociates - Nursing, Bachelors - Social Work, Masters - Social Work Education - Preferred License and Certifications - RequiredCEAP - 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/V

Job Detail

• Company:
  Magellan Health Services

Job Description

Clinical Reviewer II - R00000047113 DESCRIPTION/RESPONSIBILITIES:Gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria. Collects and analyzes utilization information. Assists with program processes for transitions across levels of care including discharge planning and ambulatory follow up activity. Serves as an expert resource on coverage policies, covered benefits, and medical necessity criteria.* Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria.* Proposes alternatives when the requested services do not meet medical necessity criteria or are outside the contracted network.* As assigned and based on credentials, monitors and reviews specialized requests and treatment records such as Treatment Record Forms.* Provides information to enrollees, providers, and internal staff regarding covered and non-covered benefits, community resources, agency programs, and policies, procedures and criteria.* Develops and manages new enrollee transitions and those involving a change in provider relationships.* Develops and implements transition plans, as indicated, to ensure continuity of care.* Negotiates and documents single case agreements according to procedures.* In conjunction with providers and facilities, identifies, develops and monitors discharge plans.* Collaborates with the Care Coordination team to implement support for transitions in care.* Facilitates timely sharing of enrollees' clinical information (such as previous treatment, medications, and planned care) in order to promote continuity of care.* Interacts with Medical Directors and Physician Advisors to provide case information and discuss clinical and authorization questions and concerns regarding specific cases.* Assures that case documentation for each decision is complete, including related correspondence.* Participates in Care Coordination team and utilization management activities, including collaboration with other staff on enrollee cases, and performing data collection, tracking, and analysis.* Maintains an active work load in accordance with performance standards.* Works with community agencies as appropriate.* Participates in network development including identification and recruitment of quality providers as needed.* Advocates for the enrollee to ensure health care needs are met.* Interacts with providers in a professional, respectful manner.* Provides coverage of Nurse Line and/or Crisis Line as requested or required for position. Other Job RequirementsResponsibilities* RN or clinical credentials in a behavioral health field. If not an RN, must hold Masters or Doctoral Degree. If nurse, RN license at a minimum. If other than RN, Masters level licensed behavioral health professional.* Good organization, time management and verbal and written communication skills.* Knowledge of utilization management procedures, Medicaid benefits, community resources and providers.* knowledge and experience in diverse patient care settings including inpatient care.* Ability to function independently and as a team member.* Knowledge of ICD and DSM IV coding or most current edition.* Ability to analyze specific utilization problems and creatively plan and implement solutions.* Ability to use computer systems.* 2 or more years ofexperience post degree in a clinical, psychiatric and/or substance abuse health care setting.* Also requires minimum of 2 years of experience conducting utilization management according to medical necessity criteria. General Job InformationTitleClinical Reviewer II Grade24 Work Experience - RequiredClinical Work Experience - PreferredEducation - RequiredAssociates - Nursing, Masters - Behavioral Health Education - PreferredLicense and Certifications - RequiredLCSW - Licensed Clinical Social Worker -

Job Detail

• Company:
  Magellan Health Services

Job Description

Care Manager - R00000047620 DESCRIPTION/RESPONSIBILITIES: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 RequirementsResponsibilitiesLicensure 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 outpatientsetting.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 InformationTitleCare Manager Grade23 Work Experience - RequiredClinical Work Experience - Preferred Education - RequiredAssociates - Nursing, Bachelors - Social Work, Masters - Social Work Education - Preferred License and Certifications - RequiredCEAP - 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 polic

Job Detail

• Company:
  Magellan Health Services

Job Description

Compliance and Claims Auditor - R00000047028 DESCRIPTION/RESPONSIBILITIES:Responsible for conducting compliance audits, risk assessments, investigations, education and training assignments relating to billing, coding, reimbursement and documentations. At least sixty percent of the time involves working in the field with vendors, subcontractors and providers. Responsible for conducting claims and compliance audits for the purpose of detecting and/or recovering inappropriate benefit payments due to billing inaccuracies and/or abusive and fraudulent practices, as well as complying with state and federal regulatory compliance and fraud reporting requirements.* Conducts reviews of behavioral health consumers? medical record to assess whether covered behavioral health services delivered to the consumer and billed to Medicaid are accurate and appropriate.* Prepares detailed audit findings reports.* Tracks and trends compliance statistics and use to implement strategies to improve provider compliance.* Implements corrective action as necessary to ensure the highest levels of provider compliance.* Conducts re-audits of providers' medical records to verify corrective actions were fully implemented and effective.* Collaborates and work in coordination with other subject matter experts in Special Investigations Unit (SIU), cost containment, legal, claims, network, compliance and external county and federal and state regulatory authorities such as the Bureau of Program Integrity, Department of Public Welfare, Office of the Attorney General and others to identify, investigate and report overpayment, duplicative payment, false claims, abuse, and fraud situations and, as appropriate, assist in the process of recovery of overpayments.* Reviews and monitors provider compliance with Medicaid Licensing and billing requirements in all levels of Medical Assistance funded care.* Conducts provider and member interviews as a part of the overall review process.* Ensures providers have a compliance plan and policies and procedures that detail provider expectations.* Reviews, monitors and reports on providers' effective implementation of the plan.* Further develops comprehensive audit and monitoring tools, provider compliance plan expectations, provider training materials and reporting templates etc.* Provides technical assistance as needed.* Presents findings reports at designated meetings (i.e. internal, customer, provider, etc.)* Ensures compliance regarding HIPAA regulations and forward mandatory reports to designated recipients. Other compliance related duties as instructed. Other Job RequirementsResponsibilitiesKnowledge of Medicaid licensing and billing requirements, DSM-IV.Ability to collaborate with many functional areas of a national organization.Large and, at times, complex database management skills coupled with strong working knowledge of Excel.Knowledge of HIPAA.Healthcare experience. General Job InformationTitleCompliance and Claims Auditor Grade22 Work Experience - RequiredHealthcare Work Experience - Preferred Education - RequiredBachelors Education - PreferredMasters 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. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

Job Detail

• Company:
  Magellan Health Services

Job Description

Executes the learning and development priorities for the company's training needs. Responsible for developing, scheduling and conducting group and/or one-on-one training, for both virtual and classroom settings. At times it is necessary to conduct classes with virtual participants both face-to-face and virtually; virtual facilitation and technical skills are required for this reason. Training will be developed and delivered for both newly hired and existing staff on policies, standards, computer systems, service delivery expectations, quality monitoring and regulation and accreditation specifics. Collaborates with COE leaders and workgroup project managers to identify, prioritize and respond to training needs of staff. Although primarily supports COE training, may be expected to lead and/or support other initiatives and programs (i.e. Leadership Programs, competency development, and new business implementations). Includes additional departmental responsibilities and tasks such as learning management system administrator, training material development and maintenance, audit and completion reports and special projects.

• Maintains subject matter expertise with company policies, COE and site procedures and systems, and clinical care management processes.

• Provides classroom and/or one-on-one instruction for new employees on company policies, COE and site procedures and systems, and clinical care management processes.

• Provides instruction for both newly hired clinical staff, staff being cross-trained on other accounts, and sustainment training for existing staff.

• Utilizes a variety of learning interventions in response to individual learning styles.

• Collaborates with Corporate Clinical Operations, IT Project Management, Talent Development and other stakeholders to work on projects, influence change management, drive training strategy and coordinate project rollouts.

• Serves as an advocate for learning and change management in project planning meetings and effectively communicate project plans, milestones and training strategy on an ongoing basis.

• Leads and/or co-leads the overall design, development and delivery of Clinical and other learning products/services/interventions, including specific needs analysis, learning outcomes definition, structure and design of learning product, implementation plan, communication with relevant stakeholders and follow up evaluations to demonstrate learning transfer.

• Leads and/or supports business/systems migrations and new office openings by developing training plan, agendas/schedules, developing/customizing content, delivering training and mentoring staff, including COE and special projects.

• Participates in clinical management team to develop and implement clinical services and training strategies that address performance gaps.

• Analyzes performance and develop, in consultation with clinical and quality management, improvements in clinical processes.

• Works with quality management in preparing materials for customer audits and accreditation visits to appropriately reflect adherence to policies and procedures and improvements in work processes.

• Assures site is in compliance with training standards as required by state and national regulations, and develops new training as these regulations are updated.

• Researches, develops and maintains manuals and documentation of procedures, training program and support materials, and training/job aids for customer accounts and prepares materials as necessary for customer review and audit.

• Designs and develops appropriate and effective instructional materials and content in collaboration with other learning partners in the department

• Conducts developmental and refresher training for existing clinical staff to implement process changes, correct deficiencies and improve individual performance.

• Utilizes enterprise Learning Management System to share training resources and information, training materials, track training activity, report on progress, and support enterprise learning strategy.

  Other Job Requirements

Responsibilities

3+ years of experience in managed clinical care, formal training design and/or facilitation and coaching experience. 3+ years of experience post degree in psychiatric and/or substance abuse health care setting, including utilization review.Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. Ability to effectively prioritize and manage competing priorities; good time management skills.Demonstrated understanding of training concepts and principles of adult learning.Demonstrated ability to convert abstract ideas into concrete solutions, and ability to communicate technical information to non-technical customers. Comfortable working in a fast-paced environment. Strong facilitation and classroom management skills. Strong verbal and written communication skills; ability to provide topic clarity to all levels. Good interpersonal skills; ability to function independently and as a team member. Understanding of managed care/healthcare operations. Skilled in use of MS Word (creating tables, managing formatting, saving versions), Excel, PowerPoint (creating presentations, using animation), Outlook. Excellent training documentation skills, including manuals, job aids and facilitator/learner materials.

General Job Information

Title

BH Clinical Trainer

Grade

23

Work Experience - Required

Clinical, Training

Work Experience - Preferred

Education - Required

Associates - Nursing, Masters - Psychology, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

• Company:
  Magellan Health Services

Job Description

This position will be the key leader in developing and managing Magellan Rx Medi-Cal Problem Correction Process (PCP) through SAI Global Compliance 360. The individual will be responsible in ensuring problem statements entered meet validation, ensuring Corrective Action Plans (CAPs) are implemented and validated.

Assists with the implementation and management of the Magellan Rx Compliance Program, and Program Integrity Plan. Responsible for the oversight of regulatory and contract compliance activities for the Pharmacy Benefit Manager (PBM) and all functional areas and markets managed by Magellan Rx Management, including regulations issued by the Centers for Medicare and Medicaid Services (CMS), and other state and federal regulations.

• Conducts monitoring, auditing and oversight functions for the Pharmacy Benefit Manager (PBM).

• Dual accountability and responsibility for monitoring, auditing and oversight functions for all Magellan Rx managed product lines (Medicare, Medicaid, Commercial Exchange) and functional areas.

• Assists with the development of the annual Risk Assessment for MRx and Delegated Entities.

• Leads Client Audit Support for all PBM and MRx clients.

• Provides support for MRx regulatory audits.

• Manages Delegation Oversight activities, including monitoring, auditing and corrective actions of First Tier, Downstream and Related Entities (FDRs) and delegated entities for the PBM and all Magellan Rx product lines.

• Coordinates activities with Special Investigations Unit (SIU) regarding fraud, waste and abuse.

• Attends client meetings to discuss compliance matters.

• Partners with operational areas to provide guidance, information, monitoring/auditing requests and results and corrective action oversight and approval.

  Other Job Requirements

Responsibilities

Requires 5+ years of compliance related experience.Strong interpersonal, organizational, and project management skills.Ability to research, obtain, coordinate, and integrate feedback and directions from diverse operational groups and organizations into a written product.Excellent verbal and written communication skills.Knowledge of Medicare regulations.Experience and thorough understanding of Microsoft Office, flow charting and other relevant software systems and applications.

General Job Information

Title

Compliance Manager

Grade

26

Work Experience - Required

Compliance, Medicare, PBM (Pharmacy Benefit Management)

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

• Company:
  Magellan Health Services

Job Description

This position is included in a Collective Bargaining Agreement.

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

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

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

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.A minimum of two years of post licensure counseling experience.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.May require travel to locations outside of a military base in a variety of physical environments. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.Secret Level security clearance.Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.Ability to prove US Citizenship and must speak fluent English.Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.Prior military service/military family member and/or strong familiarity with military culture and command structure; ability to establish productive relationships with high ranking military personnel.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Child and Youth SOCOM Military Family Life Counselor

Grade

MFLC Tier 3

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

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

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

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

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

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

• Assists in the mentoring and training of new staff.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.Responsible for meeting call handling requirements and daily telephone standards as set forth by management.Must agree to observing service for the purpose of training and quality control.Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.Must be able to maneuver through various computer platforms while verifying information on all calls.Must be able to talk and type simultaneously.

General Job Information

Title

Customer Care Associate- Pharmacy Tech (Remote)

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

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

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

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

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

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

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

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

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology. Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Experience and ability to work under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.Ability to manage multiple concurrent tasks and perform under stress.Requires reading and comprehension proficiency.Requires effective writing and problem solving skills.Ability to maintain confidentiality.Customer contact expertise.Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

License and Certifications - Required

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

Executes the learning and development priorities for the company's training needs. Responsible for developing, scheduling and conducting group and/or one-on-one training, for both virtual and classroom settings. At times it is necessary to conduct classes with virtual participants both face-to-face and virtually; virtual facilitation and technical skills are required for this reason. Training will be developed and delivered for both newly hired and existing staff on policies, standards, computer systems, service delivery expectations, quality monitoring and regulation and accreditation specifics. Collaborates with COE leaders and workgroup project managers to identify, prioritize and respond to training needs of staff. Although primarily supports COE training, may be expected to lead and/or support other initiatives and programs (i.e. Leadership Programs, competency development, and new business implementations). Includes additional departmental responsibilities and tasks such as learning management system administrator, training material development and maintenance, audit and completion reports and special projects.

• Maintains subject matter expertise with company policies, COE and site procedures and systems, and clinical care management processes.

• Provides classroom and/or one-on-one instruction for new employees on company policies, COE and site procedures and systems, and clinical care management processes.

• Provides instruction for both newly hired clinical staff, staff being cross-trained on other accounts, and sustainment training for existing staff.

• Utilizes a variety of learning interventions in response to individual learning styles.

• Collaborates with Corporate Clinical Operations, IT Project Management, Talent Development and other stakeholders to work on projects, influence change management, drive training strategy and coordinate project rollouts.

• Serves as an advocate for learning and change management in project planning meetings and effectively communicate project plans, milestones and training strategy on an ongoing basis.

• Leads and/or co-leads the overall design, development and delivery of Clinical and other learning products/services/interventions, including specific needs analysis, learning outcomes definition, structure and design of learning product, implementation plan, communication with relevant stakeholders and follow up evaluations to demonstrate learning transfer.

• Leads and/or supports business/systems migrations and new office openings by developing training plan, agendas/schedules, developing/customizing content, delivering training and mentoring staff, including COE and special projects.

• Participates in clinical management team to develop and implement clinical services and training strategies that address performance gaps.

• Analyzes performance and develop, in consultation with clinical and quality management, improvements in clinical processes.

• Works with quality management in preparing materials for customer audits and accreditation visits to appropriately reflect adherence to policies and procedures and improvements in work processes.

• Assures site is in compliance with training standards as required by state and national regulations, and develops new training as these regulations are updated.

• Researches, develops and maintains manuals and documentation of procedures, training program and support materials, and training/job aids for customer accounts and prepares materials as necessary for customer review and audit.

• Designs and develops appropriate and effective instructional materials and content in collaboration with other learning partners in the department

• Conducts developmental and refresher training for existing clinical staff to implement process changes, correct deficiencies and improve individual performance.

• Utilizes enterprise Learning Management System to share training resources and information, training materials, track training activity, report on progress, and support enterprise learning strategy.

  Other Job Requirements

Responsibilities

3+ years of experience in managed clinical care, formal training design and/or facilitation and coaching experience. 3+ years of experience post degree in psychiatric and/or substance abuse health care setting, including utilization review.Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. Ability to effectively prioritize and manage competing priorities; good time management skills.Demonstrated understanding of training concepts and principles of adult learning.Demonstrated ability to convert abstract ideas into concrete solutions, and ability to communicate technical information to non-technical customers. Comfortable working in a fast-paced environment. Strong facilitation and classroom management skills. Strong verbal and written communication skills; ability to provide topic clarity to all levels. Good interpersonal skills; ability to function independently and as a team member. Understanding of managed care/healthcare operations. Skilled in use of MS Word (creating tables, managing formatting, saving versions), Excel, PowerPoint (creating presentations, using animation), Outlook. Excellent training documentation skills, including manuals, job aids and facilitator/learner materials.

General Job Information

Title

Clinical Trainer

Grade

23

Work Experience - Required

Clinical, Training

Work Experience - Preferred

Education - Required

Associates - Nursing, Masters - Psychology, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

• Company:
  Magellan Health Services

Job Description

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

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

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

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

  Other Job Requirements

Responsibilities

Associate's degree in Education or Teacher Certification Program, Social Behavior, Human Behavior, or Health Care.Experience developing an education curriculum with learning objectives and outcomes are essential.Critical the FAPA have a high proficiency in Microsoft Office and various database and software programs.Shall be able to obtain and maintain a National Agency Check with Inquiries (NACI) Tier 1 Clearance.Must be able to operate general office equipment including but not limited to computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Able to work under time pressure and rapidly for long periods to meet deadlines.Before starting work, FAP personnel working with Military Treatment Facilities shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and proof of a negative TB skin test (completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months).Basic Life Support Certification: At a minimum, all FAP personnel working within a Military Treatment Facility must maintain current certification in either the American Heart Association Basic Life Support Course (BLS) (Course C) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS (Heart Saver) Course.

General Job Information

Title

Family Advocacy Program Assistant (Secretary II), AFMRA

Grade

WDNAFMRAFAPA

Work Experience - Required

Work Experience - Preferred

Education - Required

Associates

Education - Preferred

License and Certifications - Required

BLS - Basic Life Support - Care Mgmt

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

This position may require travel to surrounding offices to cover as needed.

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

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

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

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

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

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

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

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

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

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

• Performs -User Maintenance on RAPIDS equipment.

  Other Job Requirements

Responsibilities

High School diploma or equivalent.1+ years' experience in a Customer Service environment.HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

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

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

This position is in support of schools affiliated with the United States Military Academy at West Point . Candidates must be local to West Point or willing to relocate to become local and be licensed at the independent level in the state of New York as a Mental Health Counselor (LMHC), Therapist (LMFT), or Social Worker (LCSW).

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

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

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

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

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner. For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.Minimum 2 years of post-masters supervised clinical experience.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.May require travel to locations outside of a military base in a variety of physical environments.Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.Ability to prove US Citizenship and must be fluent in English.Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic and socioeconomic backgrounds.Must pass a National Agency Check and Inquiries (NACI) Clearance, and an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military and Family Life Counselor - School

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

• Company:
  Magellan Health Services

Job Description

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

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

• Protects the privacy and confidentiality of client information.

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

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

• Assesses and strengthening adaptation to parenthood.

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

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

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

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

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

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

• Keeps tracking system up to date with case status.

• Participates in monthly conference calls and annual training events.

  Other Job Requirements

Responsibilities

Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.Must hold a current and active license as an LCSW, LMFT or RN.Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently. Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.Must have home visitation experience.Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Working under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility. Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.

General Job Information

Title

New Parent Support Program Child and Family Specialist, FASS

Grade

21

Work Experience - Required

Child Welfare

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

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

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

• Protects the privacy and confidentiality of client information.

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

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

• Assesses and strengthening adaptation to parenthood.

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

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

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

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

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

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

• Keeps tracking system up to date with case status.

• Participates in monthly conference calls and annual training events.

  Other Job Requirements

Responsibilities

Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.Must hold a current and active license as an LCSW, LMFT or RN.Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently. Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.Must have home visitation experience.Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Working under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility. Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.

General Job Information

Title

New Parent Support Program Child & Family Specialist

Grade

21

Work Experience - Required

Child Welfare

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services

Job Description

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

• Generates reports in accordance with care coordination goal.

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Care Coordinator

Grade

21

Work Experience - Required

Clinical, Quality

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

DL - Driver License, Valid In State - Other

License and Certifications - Preferred

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

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

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

• Company:
  Magellan Health Services

Job Description

This position is responsible for monitoring Care Management Center (CMC) service levels, call center activity, and resources on a real time basis ensuring service performance goals are consistently achieved. This position will work closely with the leadership of the call center teams on optimization of Automatic Call Distributor (ACD) capabilities, staffing and scheduling and performance reporting.

• Primarily responsible for monitoring call center activity on a real time basis to ensure service level targets are achieved consistently through optimal utilization of resources.

• Supports team leaders with the scheduling of employees, productivity tracking, maintaining work schedules, coordination of off-phone activities, and approval of PTO, overtime and flexible time off.

• Manages the Workforce Management Tool (IEX Totalview) to optimize utilization of resources.

• A level of accountability in the achievement of service performance goals and client specific performance guarantee targets rests with this position.

• Responsible for coordination, production, accuracy and timeliness of ACD agent, team and overall CMC reports for both internal and external distribution.

• Helps coordinate telecommunication changes.

• Use historical call data, interval arrival patterns, average handle times, service level targets, Erlang tables, and other data as necessary to develop forecasts, staffing plans, and schedules that will ensure service level achievement at minimal cost.

  Other Job Requirements

Responsibilities

Experience with Excel spreadsheets, ACD reports and forecasting methodologies and tools.Access Database knowledgeKnowledge of Workforce Management programs.

General Job Information

Title

Workforce Planning Analyst

Grade

21

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

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

• Company:
  Magellan Health Services

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

• Company:
  Magellan Health Services

Job Description

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions.

• Maintains a caseload and monitors day to day compliance of appeal decision time frames.

• Reviews clinical and medical records for completeness and determines administrative or clinical appeal.

• Assigns reviews to physician advisers and medical directors for those requiring medical necessity reviews.

• Enters all data related to appeals and case reviews into a database.

• Prepares and presents information on appeals to panels second-level multi-disciplinary committee.

• Participates in data gathering and analysis of reports regarding appeal activity as well as preparing for appeals audits, provides new employee training, monitors QI (Quality Improvement) activities of appeals department, and assists in the development of depart flows and implementations.

• Coordinates and distributes first, second and third level appeal request assignments.

• Consults with managers on problem cases and interfaces with case managers, clinical supervisors, account managers and other personnel in resolving denial and appeal questions.

• Responds to member, provider, and client telephone inquiries regarding status, process and outcome of appeals.

• Organizes volume of work and work-flow so that performance standards and proper procedures for appeals resolution according to client requirements and state and federal regulations are addressed.

  Other Job Requirements

Responsibilities

Experience in customer interactions and detailed review of health related materials.Strong interpersonal skills and attention to detail.Ability to organize work and seek help on tasks where needed.Strong writing and proofing skills required ensuring documents meet standards and are accurate.

General Job Information

Title

Appeals Coordinator - Remote

Grade

18

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

• Company:
  Magellan Health Services

Job Description

In this position you will work in a Child Development Center affiliated with Eglin AFB. Candidates must be local to Eglin AFB or willing to relocate to become local and be licensed at the independent level in the state of Florida as a Mental Health Counselor (LMHC), Therapist (LMFT), or Social Worker (LCSW).

Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to children of all ages of military service members and their families at military installations to include civilian expeditionary work force and their families (when activated). These services may include non-medical counseling, training/health and wellness presentations, consultation with parents, personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors will be assigned to child development centers, youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.

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

• CYB counselors will also have a focus on supporting the staff and personnel of Child Development Centers (CDC), youth programs and summer camps as well as providing parent support, training and guidance.

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

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

• Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Creates a presence in child and youth settings. Is available to children, youth, and staff. When working with children, counselor must abide by line of sight protocol. (Another adult with responsibility for the child must be able to see the counselor and child they are working with at all times.)

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.Minimum 2 years of post-masters supervised clinical experience.Must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.Pass a Child National Agency Check and Inquiries (CNACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.Understanding, sensitivity and empathy for children, service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.Ability to prove US Citizenship and must be fluent in English.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military and Family Life Counselor - Child/Youth

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

• Company:
  Magellan Health Services