Lead Care Manager, Autism

Há 2 dias


Belém, Pará, Brasil Magellan Health Tempo inteiro
Lead Care Manager, Autism - PA (Remote, Yardley/Bethlehem areas)

Join to apply for the Lead Care Manager, Autism - PA (Remote, Yardley/Bethlehem areas) role at Magellan Health.


PA licensure will be required for this position and candidates will need to be able to travel to provider sites as needed in the Yardley or Bethlehem, PA areas (Eastern area of PA).


Responsibilities
  • Provides support to Care Managers and other clinical team members through content knowledge, technical and utilization management expertise. Researches open questions and unresolved issues for Care Managers who are providing direct utilization management services. Mentors new Care Managers and assists with training. Authorizes and reviews utilization of autism services, including Applied Behavior Analysis (ABA). Collects and analyzes utilization data. Assists with shaping of ABA services and assures coordination with other service providers such as medical, speech, occupational therapy, physical therapy and IEP services provided through the school setting. Works with ABA treatment team to shape care planning and provision and assures measurements of the child's progress are ongoing. Assures overall case management with the inclusion of behavioral health services when required.
  • Provides point of need support and coaching to Care Managers and other clinical team members in the course of normal operations. Builds clinical team members expertise through direct feedback and real-time coaching. Is available to provide clinical, procedural or interpretational assistance.
  • Mentors and trains Care Managers. Serves as a buddy to new Care Managers during their first few months on the job by providing daily support and feedback.
  • Researches and resolves escalated issues that frontline Care Managers cannot resolve in a timely fashion. As necessary, takes escalated calls or fills-in for the Care Manager team during high-peak periods.
  • Works with the workforce planning team to perform data collection and analysis of trends to determine problem areas and strategies for better practices for the Care Manager team.
  • Maintains an active workload in accordance with Care Manager performance standards. Provides frontline UM functions during high volume and peak periods. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.
  • Performs initial case requests for autism services, behavioral health and ABA. Reviews all submitted materials and consults with treatment team providers. Reviews IEP, psych testing and other case evaluation materials.
  • Provides information to members and providers regarding mental health and autism benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
  • Interacts with the company's Medical and Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
  • Leads or participates in team activities to help build a high-performance team.
  • Demonstrates flexibility in areas such as job duties and schedule in order to aid Care Center in better serving its members and to help the company achieve its business and operational goals.
  • Assists Care Center efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

Qualifications
  • Must have one of the following state licenses or national certification: Board Certified Behavior Analyst; Licensed Clinical Social Worker; Licensed Marriage and Family Therapist; Licensed Professional Counselor.
  • Minimum five years experience in Behavioral Health.
  • Masters in Psychology, Social Work or Counseling.
  • For Pennsylvania, if only BCBA certification is held, Behavioral Specialist License (BSL) in Pennsylvania is required.

General Job Information
  • Title: Lead Care Manager, Autism - PA (Remote, Yardley/Bethlehem areas)
  • Grade: 26
  • Work Experience - Required: Behavioral Health
  • Education - Required: Master\'s - Psychology
  • License and Certifications - Required: BCBA; LCSW; LMFT; LPC

Salary Range: $70,715 - $113,145. This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other job-related factors permitted by law.


This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan Health offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.


Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.


All employees 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.


Seniority level
  • Mid-Senior level

Employment type
  • Full-time

Job function
  • Health Care Provider

Industries
  • Hospitals and Health Care
#J-18808-Ljbffr
  • Care Manager

    Há 2 dias


    Belém, Pará, Brasil beBeecare Tempo inteiro US$70.715 - US$113.145

    Lead Care Manager, Autism PositionThe Lead Care Manager, Autism is responsible for providing support to care managers and clinical team members. This role requires a strong understanding of content knowledge, technical expertise, and utilization management skills.


  • Belém, Pará, Brasil Magellan Health Tempo inteiro

    Lead Care Manager, Autism - PA (Remote, Yardley/Bethlehem areas) Join to apply for the Lead Care Manager, Autism - PA (Remote, Yardley/Bethlehem areas) role at Magellan Health . PA licensure will be required for this position and candidates will need to be able to travel to provider sites as needed in the Yardley or Bethlehem, PA areas (Eastern area of...


  • Belém, Pará, Brasil beBeeAutism Tempo inteiro US$70.715 - US$113.145

    Lead Care Manager Job Description:As a Lead Care Manager, you will be responsible for providing support to care managers and other clinical team members through content knowledge, technical, and utilization management expertise. You will research open questions and unresolved issues for care managers who are providing direct utilization management services....

  • Autism ABA Therapist

    4 semanas atrás


    Belém, Pará, Brasil Helping Hands Family - Autism Services Tempo inteiro

    Autism ABA Therapist (RBT)-Bethlehem ($500 Sign On Bonus Available) Join to apply for the Autism ABA Therapist (RBT)-Bethlehem ($500 Sign On Bonus Available) role at Helping Hands Family - Autism Services Autism ABA Therapist (RBT)-Bethlehem ($500 Sign On Bonus Available) 3 days ago Be among the first 25 applicants Join to apply for the Autism ABA...

  • Personal Care Aide

    2 semanas atrás


    Belém, Pará, Brasil Traditional Home Health Care Tempo inteiro

    Join to apply for the Personal Care Aide - Immediate Opening role at Traditional Home Health Care 2 days ago Be among the first 25 applicants Join to apply for the Personal Care Aide - Immediate Opening role at Traditional Home Health Care Earn UNLIMITED VACATION DAYS each yearDo you have a passion for helping?We have the career for youJob Training...

  • Personal Care Aide

    Há 4 dias


    Belém, Pará, Brasil Traditional Home Health Care Tempo inteiro

    Join to apply for the Personal Care Aide - Immediate Opening role at Traditional Home Health Care 2 days ago Be among the first 25 applicants Join to apply for the Personal Care Aide - Immediate Opening role at Traditional Home Health Care Earn UNLIMITED VACATION DAYS each yearDo you have a passion for helping?We have the career for youJob Training...

  • Personal Care Aide

    3 semanas atrás


    Belém, Pará, Brasil Traditional Home Health Care Tempo inteiro

    Join to apply for the Personal Care Aide - Immediate Opening role at Traditional Home Health Care2 days ago Be among the first 25 applicantsJoin to apply for the Personal Care Aide - Immediate Opening role at Traditional Home Health CareEarn UNLIMITED VACATION DAYS each yearDo you have a passion for helping?We have the career for youJob Training...


  • Belém, Pará, Brasil beBeeTherapist Tempo inteiro US$52.000 - US$62.400

    ABA Therapist RoleA dedicated and compassionate ABA therapist is required to deliver personalized, play-based therapy to children with autism, supporting them in reaching their developmental milestones.Key Responsibilities:Provide one-on-one direct care to children with autism in clinics, at home, or in the community.Teach daily living and social skills...

  • Personal Care Assistant

    3 semanas atrás


    Belém, Pará, Brasil Everyday Home Care LLC - PA Tempo inteiro

    Join to apply for the Personal Care Assistant role at Everyday Home Care LLC - PA2 years ago Be among the first 25 applicantsJoin to apply for the Personal Care Assistant role at Everyday Home Care LLC - PAGet AI-powered advice on this job and more exclusive features.Everyday Home Care LLC - PA provided pay rangeThis range is provided by Everyday Home Care...

  • Personal Care Assistant

    2 semanas atrás


    Belém, Pará, Brasil Everyday Home Care LLC - PA Tempo inteiro

    Join to apply for the Personal Care Assistant role at Everyday Home Care LLC - PA 2 years ago Be among the first 25 applicants Join to apply for the Personal Care Assistant role at Everyday Home Care LLC - PA Get AI-powered advice on this job and more exclusive features. Everyday Home Care LLC - PA provided pay range This range is provided by Everyday...