Care Coordination Specialist - Behavioral Health (Hybrid)

Magellan Health, Inc.; Las Vegas (NM); Hybride; USD 50 000 - 75 000; Plein temps

Avantages offerts par ce poste

Benefits package

Résumé du poste

Magellan Health is seeking a CISC Care Coordinator to coordinate care for individuals with behavioral health needs. The role involves creating and updating care plans, assessing risks, and collaborating with clinicians, families, and community resources to ensure high-quality, cost-effective care.

Responsibilities include monitoring plans, communicating with care teams, and advocating for member needs while ensuring compliance with contractual requirements and company policies.

Qualifications

• 3-5 years' experience in Social Work, Nursing, or Healthcare-related field.
• Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health.
• Knowledge of cost-effective care coordination and data interpretation.
• Excellent written and verbal communication with clinicians and service providers.

Responsabilités

• Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight.
• Conducts in-depth health risk assessment and comprehensive needs assessment.
• Develops, documents and implements care plans and serves as the point of contact for services.
• Monitors and evaluates plan of care to improve health outcomes and member satisfaction.
• Educates providers and staff on care coordination strategies and resource utilization.

Connaissances

Verbal communication

Written communication

Analytical thinking

Team collaboration

Formation

GED

High School

Associate

Bachelor's

Description du poste

Magellan Health is seeking a CISC Care Coordinator to coordinate care for individuals with behavioral health needs. The role involves creating and updating care plans, assessing risks, and collaborating with clinicians, families, and community resources to ensure high-quality, cost-effective care.

Responsibilities include monitoring plans, communicating with care teams, and advocating for member needs while ensuring compliance with contractual requirements and company policies.