Senior Clinical Care Navigator

Magellan Health

Clinical Care Navigator responsible for phone queue management and crisis call assessment for Magellan members. Providing utilization management reviews and EAP connection support.

Posted 7/30/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $70,715 - $113,145 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in behavioral health and substance use disorder services, with a strong focus on crisis management, utilization management, and effective communication. Holds full clinical licensure and possesses extensive experience in healthcare settings, ensuring high-quality care and support for members.

Highest-signal resume keywords

Full Clinical Licensure5+ Years Experience in Behavioral HealthUtilization Management KnowledgeCrisis Call ManagementCEAP Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization Management ProceduresCrisis Call ProtocolsRisk AssessmentInpatient Care KnowledgeDiagnostic Statistical Manual (DSM V) Knowledge

Soft Skills

Strong Organization SkillsTime ManagementCommunication Skills

Tools & Technologies

Computer SkillsVarious Systems Navigation

Certifications & Qualifications

CEAP Certification

Industry Keywords

Behavioral HealthSubstance Use DisorderEmployee Assistance Program (EAP)Mental Health ResourcesCrisis Management

About the role

Key responsibilities & impact

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 and substance use disorder 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.
Navigator will be assigned additional responsibilities based on experience, including training and mentoring newly hired navigators.

Requirements

What you’ll need

Full clinical licensure with master's degree in social work, counseling, or similar area; License must be active in state employee works/lives.
Minimum of 5 years' experience post-licensure in healthcare, behavioral health, social work, psychiatric and/or substance use disorder setting.
Strong organization, time management, and communication skills.
Registered Nurse (RN) licensure acceptable for existing staff; all new hires will need to be master's level licensed clinicians.
CEAP certification as required by management.
Knowledge of utilization management procedures, mental health, and substance abuse community resources and providers.
Knowledge of and experience in inpatient setting.
Knowledge of DSW V or most current diagnostic edition.
Ability to analyze specific utilization problems and plan and implement solutions that directly influence quality of care.
Strong computer skills to utilize and navigate various systems.

Benefits

Comp & perks

Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.