Care Coordinator

🔥 19 minutes ago

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $50.2k - $75.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $101M Private Equity Round - Magellan Health Services on 2004-01

Healthcare • Healthcare Insurance

Magellan Health is a healthcare organization focused on behavioral health and care-management services. The company provides clinical care managers, military and family life counselors, and behavioral health services across regional programs (e. g. , Magellan Hawai‘i, Magellan of New Mexico), and supports treatment coordination for mental health and substance abuse conditions. It also offers programs that support military families and other institutional clients, indicating work in managed behavioral health and care coordination.

📋 Description

• Coordinate care for individual clients and identified populations through assessment, care planning, implementation, coordination, monitoring, and evaluation • Provide virtual or face-to-face care coordination according to contractual requirements • Promote appropriate use of clinical and financial resources to improve quality of care and member satisfaction • Provide care coordination to members with behavioral health conditions requiring intensive interventions and oversight • Conduct in-depth health risk and comprehensive needs assessments covering psychosocial, physical, medical, behavioral, environmental, and financial parameters • Develop, communicate, document, and implement care plans and serve as the point of contact for service delivery • Coordinate and monitor strategies to improve members' and families' health and quality-of-life outcomes • Identify and address gaps in care and advocate for members' care needs • Monitor plans of care and measure intervention effectiveness • Collect clinical path variance data to identify improvement opportunities • Work with members and interdisciplinary care plan teams to adjust plans of care • Educate providers, staff, members, and families on care coordination and health strategies • Facilitate interdisciplinary teamwork and cost-effective delivery of quality care and services • Collaborate with members, caregivers, legal representatives, physicians, care providers, and ancillary support services • Assist members with questions and concerns regarding care, providers, or delivery systems • Maintain professional relationships with inpatient, outpatient, and community resources • Generate reports in accordance with care coordination goals • Assist with orientation and mentoring of new team members as appropriate

🎯 Requirements

• 3–5 years' experience in Social Work, Nursing, Healthcare-related field, or relevant experience in lieu of degree • Experience in utilization management, quality assurance, home or facility care, community health, long-term care, or occupational health • Experience analyzing trends based on decision support systems • Business management skills, including cost/benefit analysis, negotiation, and cost containment • Knowledge of referral coordination to community and private/public resources • Detailed knowledge of cost-effective care coordination and interpretation of data • Ability to make decisions requiring significant analysis and investigation • Ability to determine courses of action in complex situations not addressed by existing policies or protocols • Ability to maintain complete and accurate enrollee records • Effective verbal and written communication skills • Ability to work well with clinicians, hospital officials, and service agency contacts • Required education: GED or high school • Valid in-state driver's license required • Must comply with applicable legal, regulatory, contractual, and internal policy requirements • Must understand, comply with, and attest to role-specific security responsibilities and controls

🏖️ Benefits

• Potential eligibility for short-term incentives • Comprehensive benefits package • Health, life, voluntary, and other benefits • Benefits and perks supporting physical, mental, emotional, and financial wellbeing • Tobacco-free workplace