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Full-Time

This position plays a key role in clinical program initiatives critical to Magellan in achieving revenue goals and operational objectives. This position is responsible for executing telephonic outreach to providers and members on behalf of health plan/pay...

Newport, RI

Full-Time

This position is part of an operations team that strives to provide first call resolution to a specified set of customers. This position primarily answers incoming calls for new and existing authorizations. Responsibilities include documenting in the appr...

Phoenix, AZ

Full-Time

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: - A...

Maryland Heights, MO

4d
4 days ago

Full-Time

Facilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers. ESS...

Phoenix, AZ

Full-Time

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 utilizat...

Phoenix, AZ

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4d
4 days ago

Full-Time

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 utilizat...

Phoenix, AZ

Full-Time

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 utilizat...

Maryland Heights, MO

Full-Time

Must hold an independent license ( LPC, LCSW) to work in an adult position at Davis Monthan, Provides the full breadth of MFLC consultation and counseling services to the command structure and military service members and their families as an embedded cou...

Tucson, AZ

Full-Time

Must hold a California license at the independent practice level Job Summary 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 mem...

Travis Air Force Base, CA

Part-Time

Evening Shifts - part time or full time shifts available! Provides care coordination to members with behavioral health conditions identified and assessed as requiring interventions and oversight including multiple clinical, social and community resources....

Columbia, MD

Part-Time

Weekend Shifts Available - part time or full time work schedules. Provides care coordination to members with behavioral health conditions identified and assessed as requiring interventions and oversight including multiple clinical, social and community re...

Columbia, MD

Full-Time

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors clinical specialty programs in the field. Serves as clinical liaison for assign...

San Francisco, CA

Full-Time

Independently 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 performed are either...

Danville, PA

Full-Time

Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve compliance with recommended health services with the designated health care provider. Conducts telephone and in-person communication with enrollees to a...

Orlando, FL

Full-Time

Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve compliance with recommended health services with the designated health care provider. Conducts telephone and in-person communication with enrollees to a...

Jacksonville, FL

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Full-Time

Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve compliance with recommended health services with the designated health care provider. Conducts telephone and in-person communication with enrollees to a...

Tampa, FL

Full-Time

This is a ground-floor opportunity to help build a people analytics group, by creating and delivering products that inform and empower decision makers. In this role, you’ll develop and manage a portfolio of Workday reports, from basic to advanced, and res...

Maryland Heights, MO

Full-Time

***This is a Remote Opportunity*** Responsible for Workday system management and performance optimization. Designs, develops, and maintains system integrations. Plans, schedules, and implements platform upgrades. Configures and administers system security...

Maryland Heights, MO

Full-Time

The position is for remote in WY JOB SUMMARY: Supports clinical team in the High Fidelity Wraparound referral and enrollment process. Coordinates with families, stakeholders and HFWA providers for processing referrals and enrolling members into the progra...

Cheyenne, WY

Full-Time

Independently 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. Essential Functions - Provid...

Santa Fe, NM

Full-Time

JOB SUMMARY Responsible for the supervision and coordination of care management staff, including intensive care management staff, providing expertise in designated programs. ESSENTIAL FUNCTIONS Assists clinical management in the development and on-going m...

San Diego, CA

Full-Time

Clinical Pharmacy Technician This position plays a key role in medical and pharmacy management initiatives critical to ICORE/Magellan Pharmacy Services in achieving revenue goals and operational objectives. This position is responsible for executing speci...

Orlando, FL

Full-Time

Clinical Pharmacy Technician Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. ESSENTIAL FUNCTIONS: - Determines appropriateness for medicatio...

Salt Lake City, UT

Full-Time

Clinical Pharmacy Technician Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. ESSENTIAL FUNCTIONS: - Determines appropriateness for medicatio...

Glen Allen, VA

Full-Time

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns...

Maryland Heights, MO

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