Care Coordinator

🔥 0 minutes ago

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $50.2k - $75.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 through assessment, care planning, implementation, coordination, monitoring, and evaluation • Perform duties virtually or face-to-face based on contractual requirements • Promote appropriate use of clinical and financial resources to improve care quality 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 factors • Develop, communicate, document, and implement individualized care plans • Serve as a point of contact to ensure services are appropriately delivered, including transitions to home care, backup plans, and community-based services • Monitor strategies and plans of care, measure intervention effectiveness, and identify gaps and trends • Collect clinical path variance data to identify improvement opportunities • Collaborate with interdisciplinary care plan teams, members, caregivers, legal representatives, physicians, care providers, and ancillary services • Educate providers, staff, members, and families on care coordination and health strategies • Facilitate cost-effective delivery of quality care across the continuum • Advocate for members by identifying and addressing gaps in care • Maintain professional relationships with inpatient, outpatient, and community resources • Assist with orientation and mentoring of new team members • Assist members with questions and concerns regarding care, providers, or the delivery system • Generate reports in accordance with care coordination goals

🎯 Requirements

• 3–5 years of 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 actions 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 effectively with clinicians, hospital officials, and service agency contacts • Required GED or high school education • Valid in-state driver license required • Preferred: Associate or Bachelor's education • Preferred certifications/licenses include CCM, LCSW, and RN state and/or compact-state licensure • Must comply with position-specific security responsibilities, controls, legal, regulatory, contractual, and internal policy requirements

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health, life, voluntary, and other benefits and perks • Professional growth and development • Total health and wellness • Rewards and recognition • Employee unity • Tobacco-free workplace