Clinical Reviewer III, Behavioral Health - Remote NM
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Job Description
About the Role
Join Magellan Health as a Clinical Reviewer III, Behavioral Health - Remote NM in United States. Conducts and oversees treatment record and case management record reviews. Trends and analyzes findings for internal and external reporting.
Key Responsibilities
- listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job.
- A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Requirements
- Responsibilities RN/BSN or clinical credentials in a behavioral health field.
- If not an RN, must hold Masters or Doctoral Degree and be a licensed behavioral health professional.
- Good organization, time management and verbal and written communication skills.
- Knowledge of utilization management procedures, Medicaid.
Benefits & Compensation
- Remote NM Grade 27 Work Experience
- Required Clinical, Utilization Management Work Experience
- Preferred Education
- Required Bachelor's
Work Schedule
- Full-time position.
- No explicit call, weekend, or night shift information provided.
Apply to join Magellan Health as a Clinical Reviewer III, Behavioral Health - Remote NM.
Key Skills
Position Insights
Mental Health Therapy — Physician Career Context
This Mental Health Therapy position at Magellan Health is open to physician candidates.
Physicians (MD/DO) are in high demand across healthcare settings, with growing interest in positions that offer sustainable schedules and reduced administrative burden.
Compensation Analysis
Magellan Health lists compensation for this physician position at $78k to $124k annually.
Location & Logistics
This position is based in United States.
Skills, Responsibilities & Benefits
Key skills and qualifications: Clinical Review, Utilization Management, Behavioral Health, Case Management, Quality Assurance, Medical Necessity Criteria, ICD Coding, DSM IV Coding. Candidates with experience in these areas may be especially well-suited for this Mental Health Therapy role.
Core responsibilities: Conducts and oversees treatment record reviews while analyzing clinical documentation to ensure quality of care standards. Prepares performance reports and coordinates in-service education programs for clinical staff and providers.
Benefits package: Health Insurance, Life Insurance, Voluntary Benefits, Short-term Incentives. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.
About WeekdayDoc
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Benefits & Perks
Job Details
Employment Type
Full Time
Posted
22d ago
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