Manager, Clinical Care Services

Magellan Health

Magellan Health clinical care manager supervising clinical care teams and managing utilization. Improving quality, efficiency, staffing, audits, and provider coordination.

Posted 8/11/2026full-timeRemote • New Mexico • 🇺🇸 United StatesMid-LevelSenior💰 $83,890 - $142,610 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in clinical management, staff supervision, and quality improvement within healthcare settings. Proficient in care management review, utilization analysis, and maintaining compliance with healthcare standards and policies.

Highest-signal resume keywords

Clinical ManagementStaff SupervisionUtilization ManagementQuality ImprovementHealthcare Services Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ReviewUtilization AnalysisPerformance MonitoringClinical Treatment InterpretationReferral and Triage Decision Making

Soft Skills

LeadershipCommunicationCounselingProblem Solving

Certifications & Qualifications

BCBALCSWLMFTLMSWLPCCLPCPCRN

Industry Keywords

Managed CareBehavioral HealthPhysical HealthHealthcare StandardsClinical Information

About the role

Key responsibilities & impact

Manage, directly supervise, and coordinate clinical and/or nonclinical management staff, including utilization management and intensive care management staff
Provide expertise in designated programs
Assist clinical management with development and ongoing management of designated staff
Perform care management review activities consistent with Magellan policies, procedures, and standards
Recruit, interview, and select qualified staff and ensure appropriate orientation
Monitor care management staff performance and adherence to efficiency goals, including case volume, case closure rates, average handle time, and other metrics
Supervise staff through approved audit processes, perform annual reviews, and provide counseling and disciplinary action as necessary
Coordinate quality improvement activities under clinical management direction
Assist with strategic and operational goals and plans
Identify and coordinate clinical and client service training needs
Analyze utilization problems and plan and implement solutions influencing quality of care and cost efficiency
Supervise collection of pertinent clinical information while maintaining provider relationships
Perform additional duties aligned with the intent of the role as assigned

Requirements

What you’ll need

5 years post-degree experience in a direct care clinical setting
Managed care experience preferred
1 year of direct supervisory experience required
One or more current, active licenses required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC, or RN
If RN, BSN preferred; ASN considered with additional experience
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 another medical specialty area
Considerable skill interpreting clinical treatment information and making appropriate referral and triage decisions
Must meet Magellan credentialing criteria for RN, Masters, or Doctoral-level provider
Required education includes Associate in Nursing or Master's in Behavioral Health
Current licensure must meet state, Commonwealth, or customer-specific requirements
RN candidates must hold state and/or compact state licensure

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health, life, voluntary, and other benefits
Physical, mental, emotional, and financial wellbeing perks
Professional growth and development
Total health and wellness
Rewards and recognition
Employee unity
Tobacco-free workplace