Psychiatric Registered Nurse Salary in San Diego, CA

Salary for this role is $80,000K - 87,000K annually. This role is eligible for full Magellan Health benefits. This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC)CEAP requirement does not apply to this role.Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.Provides telephone triage, crisis intervention and emergency authorizations as assigned.Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.Participates in quality improvement activities, including data collection, tracking, and analysis.Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Participates in network development including identification and recruitment of quality providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.Other Job RequirementsResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatientsetting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.General Job InformationTitleClinical Care Manager- Must be licensed and reside in CAGrade24Work Experience - RequiredClinicalWork Experience - PreferredEducation - RequiredAssociate - Nursing, Bachelor's - Social Work, Master's - Social WorkEducation - PreferredLicense and Certifications - RequiredCEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredSalary RangeSalary Minimum:$58,440Salary Maximum:$93,500This 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.

Salary for this role is $80,000K - 87,000K annually. This role is eligible for full Magellan Health benefits. This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC)CEAP requirement does not apply to this role.Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.Provides telephone triage, crisis intervention and emergency authorizations as assigned.Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.Participates in quality improvement activities, including data collection, tracking, and analysis.Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Participates in network development including identification and recruitment of quality providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.Other Job RequirementsResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatientsetting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.General Job InformationTitleClinical Care Manager- Licensed and Must Reside in CaliforniaGrade24Work Experience - RequiredClinicalWork Experience - PreferredEducation - RequiredAssociate - Nursing, Bachelor's - Social Work, Master's - Social WorkEducation - PreferredLicense and Certifications - RequiredCEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredSalary RangeSalary Minimum:$58,440Salary Maximum:$93,500This 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.

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews member records, and works in conjunction with primary care, community benefits, and other support opportunities to develop a long term care plan to guide the member through their mental health care. Oversees the work of its assigned care support team and work with non-licensed support staff to meet standards of care and performance set by Member Market Leads and the Care Management Center of Operational Excellence (CoOE) Lead.Accountable for all Care Management activities for assigned high and moderate members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple clinical, social, and community resources.Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and moderate member need.Conducts in depth health risk assessment and/or comprehensive needs assessment including, but not limited to, psycho-social, physical, medical, behavioral, environmental, and financial parameters.Develops, documents, implements, and communicates the patient-centered care plan, which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.Educates providers, supporting staff, members and families regarding care management role and health strategies with a focus on member-focused approach to care.Serves as an accountable member of the care team to oversee appropriate rendering of services (e.g., during transitions in care or transition to home care, back up plans, community-based services).Oversees and effectively manages work assigned and conducted by assigned care support teamImplements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.Acts as an advocate for members' care needs by identifying and addressing gaps in care.Performs ongoing monitoring of members' care plan and measures the effectiveness of interventions as identified; develops plans that strive to meet Magellan developed KPIs in accordance with the CM CoOE Lead and Member Market Leads.Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes.Works with members and the interdisciplinary care plan team to adjust plan of care as necessary.Facilitates a team approach, including all participants of the Interdisciplinary Care Plan team, Health Plan Medical Care Management where appropriate, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.Other Job RequirementsResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licenses is required for this role with necessary degree: LMSW, LCSW, LMFT, LPC, or RN.Minimum 5 years' experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Ability to manage and oversee activities of assigned care support teams.Experience with Care Management workflows.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge of and experience in inpatient and/or outpatient setting.Knowledge of DSM-5 or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.Understanding of plan benefit structures, psychiatric/medical terminology, call center terminology and operations.Strong written and verbal communication skills.General Job InformationTitleCare Manager Health Plan, Remote, CA licenseGrade25Work Experience - RequiredBehavioral Health, HealthcareWork Experience - PreferredEducation - RequiredBachelor's - Nursing, Master's - Counseling, Master's - Social WorkEducation - PreferredLicense and Certifications - RequiredLCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredSalary RangeSalary Minimum:$64,285Salary Maximum:$102,855This 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.

Matrix Providers - Caring for America's military family. Not just leading the way, but leading the industry. Your success is our business.Matrix Providers is hiring a Registered Nurse (RN) - Primary/Ambulatory care clinics for the Director of Medical Servicesto join our team of talented professionals who provide healthcare services to our Military Service Members and their families in San Diego, CA. Employment Status: Full Time Compensation: This is an hourly position at $30.50 to $51.95 Schedule: Monday through Friday, hours of 7:00 am - 8:00 pm. Shifts will generally be scheduled for 9 hours, including an uncompensated 60-minute lunch break. Schedule directed by unit supervisor. Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage. Accrued Paid Time Off (PTO) Paid Holidays (Outlined in Handbook) 401(k) Plan Requirements: The Registered Nurse (RN)must have and meet the following: Degree: Associate's Degree in Nursing. Education: Graduated from an accredited registered nurse program. Possess and maintain a current unrestricted license to practice as a Registered Nurse in any 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S Virgin Islands. This position is subject to credentialing. Certifications: American Heart Association Basic Life Support (BLS) or American Red Cross Basic Life Support (BLS) for Healthcare Providers or American Heart Association or American Red Cross Healthcare Provider Course. Experience: Minimum three years of clinical registered nurse experience within the last five years. Licensure: Possess and maintain a current unrestricted license to practice as a Registered Nurse in any 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S Virgin Islands. Job Summary: Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes regarding clinical care, quality, and cost-effectiveness Ensure compliance with standards of care and practice by all established policies, procedures, and guidelines used in the Medical Treatment Facility (MTF). Perform physical exams and health histories. Provide health promotions, counseling, and education. Administer medications, wound care, and numerous other personalized interventions. Direct and supervise the care provided by other healthcare professionals. Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel. Recognize adverse signs and symptoms and quickly react in emergencies. Communicate and collaborate with a diverse group of people to inform the healthcare team of plans/actions for teaching/education to benefit the patient/family and organization. Make referral appointments and arrange specialty care as appropriate. Perform nursing services as identified in the official Task Order. Conduct research in support of improved practice and patient outcomes. Position-Specific Duties: Provide comprehensive nursing care for all ages and families in their Medical Home Port Team utilizing evidence-based clinical practice guidelines and engaging patients actively in their health care. Demonstrate clinical expertise in the execution of the nursing process and clinically direct staff in its application. May administer routine intravenous fluids and medications. Monitor and administer diagnostic and therapeutic agents. Initiate and maintain patients' medical history, recording observations and stated symptoms for use by the Medical Home Port Team. Observe and record pertinent vital signs, determine and order laboratory procedures on patients that the provider may require to diagnose and treat the patient, per command and department policies. Perform triage through the screening of patient problems. Take appropriate action such as practitioner referral and evaluation, health care advice, initiation of medical protocols, or referral based on medical staff protocols. Matrix Providers is an equal-opportunity employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. For our EEO Policy Statement, please see https://matrixproviders.com/accessibility-eeo-disclaimer. To learn more about our Benefits Packages, please see https://matrixproviders.com/benefits. Matrix Providers endeavors to make www.matrixproviders.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please get in touch with our Recruiting Hotline Number, 1-877-807-8277, TTY LINE, 385-722-8109. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. #INDN