Care Coordinator

🔥 15 hours ago

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $50.2k - $75.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 $101M Private Equity Round on 2004-01

Consulting • Insurance • Healthcare

Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.

📋 Description

• Coordinate care for individual clients and identified populations through assessment, care planning, implementation, coordination, monitoring, and evaluation • Provide care coordination to members with behavioral health conditions requiring intensive interventions and oversight • Conduct in-depth health risk and comprehensive needs assessments • Develop, communicate, document, and implement care plans • Serve as point of contact to ensure services are rendered appropriately • Implement, coordinate, and monitor strategies to improve members' health and quality-of-life outcomes • Address members' social, physical, mental, emotional, spiritual, and supportive needs through appropriate resources • Advocate for members by identifying and addressing gaps in care • Monitor and evaluate plans of care and intervention effectiveness • Collect clinical path variance data and identify improvement opportunities • Collaborate with members, families, caregivers, legal representatives, physicians, care providers, ancillary services, and interdisciplinary care plan teams • Educate providers, staff, members, and families on care coordination and health strategies • Facilitate cost-effective delivery of quality care across the continuum • Assist members with questions and concerns regarding care, providers, or delivery systems • Maintain professional relationships with inpatient, outpatient, and community stakeholders • 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 data interpretation • Ability to make decisions requiring significant analysis and investigation • Ability to determine appropriate courses of action in complex situations • Ability to maintain complete and accurate enrollee records • Effective verbal and written communication skills • Ability to work with clinicians, hospital officials, and service agency contacts • GED or high school education required • Valid in-state driver's license required • Compliance with applicable legal, regulatory, contractual, security, and internal policy requirements

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health, life, voluntary and other benefits • Benefits and perks supporting physical, mental, emotional and financial wellbeing • Tobacco-free workplace

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