Care Coordinator

🔥 14 hours 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 • 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 parameters • Communicate and develop care plans and serve as point of contact to ensure appropriate 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 care gaps and trends • Collect clinical path variance data to identify improvement opportunities • Collaborate with members, families and interdisciplinary care teams to adjust care plans • Educate providers, staff, members and families on care coordination and health strategies • Facilitate cost-effective, quality care delivery across the continuum • Collaborate with physicians, caregivers, legal representatives, care providers and ancillary support services • Assist members with care, provider and delivery-system questions • 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 • Perform duties virtually or face-to-face based on contractual requirements

🎯 Requirements

• Candidates must reside in the Las Cruces, NM or surrounding area • 3-5 years' experience in Social Work, Nursing, or 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 in 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 coordination of care and interpretation of data • Ability to make decisions requiring significant analysis and investigation • Ability to determine appropriate courses of action in complex situations • 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 • Valid in-state driver's license required

🏖️ 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