Remote Mnc Jobs (NOW HIRING)

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 
***This role requires current licensure. Must be a master's level licensed clinician.*****
20 hours part-time, Saturday 7am-6pm CST and Sunday 7am-6pm CST.
Under supervision of clinical leadership, the navigator is a phone queue based role responsible for answering calls from Magellan members, individual providers, facilities, and customer representatives. May provide utilization management review and authorization of behavioral health (BH) and substance use disorder (SUD) services ranging from outpatient counseling to inpatient levels of care. May assist with connection to Employee Assistance Program (EAP) services including counseling, coaching, Critical Incident Response and Workplace Support Services (WPS). Responsible for triaging calls, determining level of risk, managing crisis calls, and assessing members for all types of risk following Magellan's established crisis call protocols. Navigators will be assigned additional responsibilities based on level of experience.
Manage EAP service requests within scope of clinical role including in the moment telephonic consultation, connection to EAP counseling, education and connection to other EAP benefits. Conduct risk assessment and assessment of social determinants of health needs on all calls. Provide WPS Supervisor Consultations, manage requests for Critical Incident Response, submit requests for urgent/routine member appointment searches.  (30%)
    Provides utlization management review and authorization of behavioral health and substance use disorder services ranging from outpatient to inpatient levels of care utilizing applicable Medical Necessity Critera (MNC) guidelines. Assists members and facilities in coordinating and accessing benefit eligible treatment. (30%)
    Provide crisis call management. Follow crisis call protocols and connect to emergency services, mobile crisis response, and/or other crisis resources as appropriate. Outreach to members assessed as high risk. (20%)
    Assist members with accessing benefit eligible EAP, BH or SUD treatment via bed searches and routine/urgent appointment searches. Manage requests and complete outreach for Critical Incident Response event staffing. (10%)
    When off queue, other responsibilities include completing required corporate and clinical trainings, participation in individual supervision and team meetings, gathering and submitting customer feedback and supporting Magellan holiday phone queue coverage. (10%)
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