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%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

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

Upload Resume

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 • 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 for service delivery • Implement, coordinate, and monitor strategies to improve members' 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 plans regularly to identify gaps and improvement trends • Collect clinical path variance data to identify areas for improvement • Work with members and interdisciplinary care plan teams to adjust care plans • Educate providers, staff, members, and families about 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 • Utilize licensed care coordination staff for complex cases as appropriate • Assist members with questions and concerns regarding care, providers, or delivery systems • Maintain professional relationships with inpatient, outpatient, and community resources • Generate reports aligned with care coordination goals • Travel extensively in the community while working from home

🎯 Requirements

• Candidate must live in the Rio Rancho, NM or 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 with clinicians, hospital officials, and service agency contacts • Required education: GED or high school • Valid in-state driver's license required • Must comply with 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 • Benefits and perks supporting physical, mental, emotional, and financial wellbeing • Tobacco-free workplace