Care Coordinator

🔥 13 hours ago

🌶️ New Mexico – Remote

infoinfo

💵 $50.2k - $75.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on Magellan Health's careers page, not through a job board

First seen by Remote Rocketship 13 hours ago

Still open on Magellan Health's site. Checked 1 hour ago.

Logo of Magellan Health

Magellan Health

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 • Perform duties virtually or face-to-face according to contractual requirements • 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 factors • Communicate and develop care plans and serve as the point of contact to ensure appropriate service delivery • Implement, coordinate and monitor strategies to improve members' and families' health and quality-of-life outcomes • Develop, document and implement plans addressing social, physical, mental, emotional, spiritual and supportive needs • Advocate for members by identifying and addressing gaps in care • Monitor plans of care and measure intervention effectiveness • Review care plans regularly to identify gaps and trends • Collect clinical path variance data for service and case improvement • 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 team-based, cost-effective delivery of quality care across the continuum • Collaborate with members, caregivers, legal representatives, physicians, care providers and ancillary support services • Assist members with questions and concerns regarding care, providers and delivery systems • Maintain professional relationships with inpatient, outpatient and community resources • Generate reports aligned 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 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 • Must live in Las Vegas, New Mexico or the surrounding area • Valid in-state driver's license required • Required education: GED or high school • Compliance with applicable legal, regulatory, contractual and internal security requirements

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health, life, voluntary and other benefits and perks • Tobacco-free workplace

Apply Now

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Similar Jobs

🔥 20 hours ago

Healthfirst

1001 - 5000

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Remote Care Coordinator supporting Healthfirst members with healthcare navigation, care coordination, and benefit inquiries. Managing caseloads, documenting calls, and coordinating interdisciplinary member support.

🕒 2 days ago

Cardinal Health

10,000+ employees

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Individualized Care Coordinator supporting Cardinal Health Sonexus patient access programs. Investigating insurance benefits, resolving reimbursement issues, and coordinating timely therapy dispensing.

🇺🇸 United States – Remote

💵 $18 - $25 / hour

💰 $78M Post-IPO Debt on 2006-08

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

infoinfo

🕒 3 days ago

Emory Healthcare

10,000+ employees

🏥 Healthcare

📚 Education

🔬 Science

Emory Healthcare RN coordinating virtual care, patient outreach, and complex disease management. Improving outcomes through telehealth, care plans, referrals, and multidisciplinary collaboration.

🇺🇸 United States – Remote

💵 $47 - $54 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🕒 3 days ago

Calibrate

201 - 500

🏥 Healthcare

🍽️ Food & Beverage

💼 Consulting

Member Care Coordinator coordinating clinical workflows and prior authorizations for Calibrate’s app-based obesity-care program. Supporting members, providers, insurers, PBMs, and pharmacies through medication access.

🇺🇸 United States – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

infoinfo

🕒 5 days ago

Mavida Health

11 - 50

🏥 Healthcare

👥 B2C

🧘 Wellness

Lead Member Operations and care coordination for Mavida Health’s online therapy and psychiatry platform. Support members, improve workflows, and mentor care coordinators.

🇺🇸 United States – Remote

💵 $80k - $100k / year

💰 $2M Seed Round on 2024-05

⏰ Full Time

🟠 Senior

Developed by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com
Follow Remote Rocketship on LinkedInFollow Remote Rocketship on InstagramFollow Remote Rocketship on FacebookFollow Remote Rocketship on TikTok