This position requires a degree in Psychology.

Authorizes and reviews utilization of psychological and neuropsychological testing services. Collects and analyzes utilization data. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvment projects in collaboration with the other members of the clinical team.

• Reviews psychological and neuropsychological testing requests to ensure medical necessity and effectiveness.
• Provides telephone triage, crisis intervention and emergency authorizations.
• Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Magellan Health Services policies and procedures, and criteria.
• Interacts with the company Medical Directors and others to discuss clinical and authorization questions and concerns regarding specific cases.
• Participates in quality improvement activities, including data collection, tracking, and analysis.
• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.
• Supports team members and participates in team activities to help build a high-performance team.

Other Job Requirements

Responsibilities

Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. Applicant must be independently licensed in their state of residence and must meet Magellan credentialing requirements for independent professional practice.
Doctoral Degree in behavioral health related field.
Experience administering, evaluating and doing the analysis for psychological or neuropsychological testing requests. Experience writing complete psychological/neuropsychological evaluations and providing feedback to patients regarding the results and recommendations.
Minimum of 3 years of post degree experience in psychiatric and/or substance abuse health care setting for Care Managers with Ph.D., including utilization review.
Strong organizational, time management and communication skills.
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Knowledge of and experience in inpatient setting.
Knowledge of Diagnostic and Statistical Manual of Mental Disorders (DSM–V) or most current diagnostic edition.
Ability to function independently and as a team member.
Proficient ability with computer systems.
Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

General Job Information

Title

Senior Care Manager - Psychologist - Remote

Grade

28

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Doctorate - Education, Doctorate - Psychology, PhD - Psychology

Education - Preferred

License and Certifications - Required

PSY - Psychologist - Care Mgmt

License and Certifications - Preferred

Salary Range

Salary Minimum:

$83,890

Salary Maximum:

$142,610

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 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.
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.