Care Coordinator

🔥 4 minutes 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 care quality and member satisfaction • Provide intensive care coordination and oversight for members with behavioral health conditions • Conduct in-depth health risk and comprehensive needs assessments • Communicate and develop care plans and serve as point of contact for service delivery • Implement, coordinate, and monitor strategies to improve member and family 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, identify care gaps and trends, and collect clinical path variance data • Work with members, families, and interdisciplinary care teams to adjust care plans • Educate providers, staff, members, and families on care coordination and health strategies • Facilitate interdisciplinary team approaches to cost-effective, quality care delivery • Collaborate with physicians, caregivers, legal representatives, care providers, ancillary services, and community resources • Assist members with care, provider, and delivery-system questions • Maintain professional relationships with external stakeholders and community resources • Generate reports aligned with care coordination goals • Assist with orientation and mentoring of new team members as appropriate

🎯 Requirements

• Candidates must live in the Albuquerque, NM surrounding area • 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 required • 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 well with clinicians, hospital officials, and service agency contacts • GED or high school education required • Valid in-state driver's license required • Must comply with security responsibilities, controls, and applicable 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 supporting physical, mental, emotional and financial wellbeing • Tobacco-free workplace