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LTSS Care Coordination Hub Manager

This Hub Manager is for the Roanoke region. Candidates must reside in the Roanoke region which consists of the counties from Highland, Pulaski, Henry, Bedford to Rockbridge. Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. Essential Functions: Assists clinical management in the development and on-going management of designated staff. Performs care management review activities consistent with Magellan policies, procedures, and standards. Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided. Regularly monitors the performance of care management staff.  Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics. Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary. Coordinates quality improvement activities under the direction of clinical management. Assists management in the development of strategic and operational goals and plans. Assists management in the identification and coordination of the necessary clinical and client service training needs. Analyzes specific utilization problems, plans and implements solutions that directly influence quality of care and cost efficiency. Supervises the collection of pertinent clinical information while maintaining a good rapport and relationship with providers. General Job Information   Title LTSS Care Coordination Hub Manager Grade 26 Job Family Clinical Services Group Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 9/28/2018 Date Requisition Created 9/25/2018 Minimum Qualifications Education Bachelors: Nursing (Required), Masters: Behavioral Health (Required) License and Certifications - Required BCBA - Board Certified Behavior Analyst - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, PC - Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred Current licensure required for this position that meets State, Commonwealth or customer-specific requirements. - Care Mgmt Other Job Requirements Responsibilities 5 years post degree experience in a direct care clinical setting; managed care experience preferred. 1 year direct supervisory experience required.  One or more of the following current, active licenses are required:  BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC or RN. Thorough knowledge of physical, medical specialty and/or mental health community resources and providers. Thorough knowledge of healthcare services in physical health, behavioral health or other medical specialty area based on pod management. Considerable skill in interpreting clinical treatment information and making appropriate referral and triage decisions.   Must meet Magellan's credentialing criteria for RN, Masters or Doctoral level provider. Bi/Multi Lingual Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled R00000021900
Salary Range: NA
Minimum Qualification
5 - 7 years

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