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Medical Director

Company: Magellan Health
Location: San Diego
Posted on: October 20, 2019

Job Description:

This position is responsible for the assessment, reassessment, care planning and coordination of care and services for Members enrolled in the case management program. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care coordination. Regularly communicates with the member’s PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning. Maintains a caseload of members enrolled in the case management program, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings. Serves as the primary point of contact throughout the treatment episode at the levels of care. Coordinates with the interdisciplinary team of providers, vendors, facilities, discharge planners, nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings. Maintains timely, complete and accurate documentation in compliance with regulatory policies and procedures. Participates in complex case rounds and/or meetings and consults with Physician Adviser/Medical Director on regular basis concerning the progress of members. Provides consultation to PCP/Providers as indicated with consent of client. Identifies barriers to accessing services and assists members as needed. Participate actively in the Quality Improvement program. Other duties as assigned. General Job Information Title Case Manager BH/RN Grade 24 Job Family Clinical Services Group Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 3/15/2019 Date Requisition Created 3/8/2019 Work Experience Behavioral Health, Case Management, Clinical Education Associates: Nursing (Required), Masters: Behavioral Health (Required) License and Certifications - Required RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred CCM - Certified Case Manager - Care Mgmt Other Job Requirements Responsibilities One or more of the following licensure is required: LCSW, LMFT, LPCC or RN. Proficient computer skills, including ability to converse and type at a conversational pace. Solid understanding of behavioral health diagnoses. Strong organization, time management and verbal and written communication skills. Knowledge and experience in working with case management and in facilities, with local care coordinators or with special populations. Knowledge of DSM V or most current diagnostic edition. Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

Keywords: Magellan Health, Escondido , Medical Director, Other , San Diego, California

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