Care Coordinator

🔥 1 hour 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 through assessment, care planning, implementation, coordination, monitoring, and evaluation • Perform duties virtually or face-to-face according to contractual requirements • Promote appropriate use of clinical and financial resources to improve quality of care and member satisfaction • Provide care coordination for 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 care plans and serve as the point of contact for service delivery • Implement, coordinate, and monitor strategies to improve members' and families' health and quality-of-life outcomes • Address members' social, physical, mental, emotional, spiritual, and supportive needs through appropriate resources • Identify and address gaps in care and advocate for members' care needs • Monitor and evaluate care-plan effectiveness and measure intervention outcomes • Review care plans regularly to identify gaps and trends • Collect clinical path variance data to identify improvement opportunities • Collaborate with interdisciplinary care-plan teams to adjust care plans and coordinate services • 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 services on medical, behavioral, social, community-based, and long-term-care needs • Assist members with questions and concerns regarding care, providers, or delivery systems • Maintain professional relationships with inpatient, outpatient, and community stakeholders • 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 not addressed by existing policies or protocols • 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, and internal policy requirements • Certification/licensure listed as preferred: Certified Case Manager (CCM), Licensed Clinical Social Worker (LCSW), or Registered Nurse (RN) state and/or compact-state licensure

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health benefits • Life benefits • Voluntary benefits • Other benefits and perks supporting physical, mental, emotional, and financial wellbeing • Tobacco-free workplace