Care Coordinator - Remote in Bernalillo/Rio Rancho, NM

Magellan Health Services, Inc. in; Bernalillo (NM); Remote; USD 50,000 - 76,000; Full time

Job summary

A leading healthcare company is seeking a Care Coordinator to work remotely in Bernalillo/Rio Rancho, NM. The role involves coordinating care for clients with behavioral health conditions, conducting assessments, and developing care plans. The ideal candidate will have experience in social work or nursing, effective communication skills, and a focus on quality outcomes. This position offers a competitive salary and benefits aimed at supporting employee well-being.

Qualifications

• Requires 3-5 years of experience in Social Work, Nursing, or related healthcare fields.
• Skills include trend analysis, cost/benefit analysis, negotiation, and resource referral coordination.

Responsibilities

• Coordinates care of individual clients with behavioral health conditions.
• Conducts health risk assessments and develops care plans.
• Collaborates with interdisciplinary teams to modify care plans.

Skills

Trend Analysis

Negotiation

Resource Referral Coordination

Effective Communication

Education

GED

High School

Associate

Bachelor's

Job description

Care Coordinator - Remote in Bernalillo/Rio Rancho, NM (Finance)

Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost-effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.

• Provides care coordination to members with behavioral health conditions requiring intensive interventions, including multiple clinical, social, and community resources.
• Conducts in-depth health risk and needs assessments covering psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Develops and communicates care plans, serving as the primary contact to ensure appropriate service delivery, especially during transitions and community-based services.
• Implements, coordinates, and monitors strategies to improve health and quality of life outcomes for members and their families.
• Creates and documents plans that address social, physical, mental, emotional, spiritual, and supportive needs with appropriate resources.
• Advocates for members by identifying and addressing care gaps.
• Performs ongoing monitoring and evaluation of care plans for effectiveness and necessary adjustments.
• Measures intervention effectiveness and reviews care plans regularly to identify gaps and trends for health improvements.
• Collects data on clinical path variances to identify areas for service improvement.
• Works collaboratively with members and interdisciplinary teams to modify care plans as needed.
• Educates providers, staff, members, and families on care coordination and health strategies, emphasizing a member-focused approach.
• Facilitates team collaboration to ensure appropriate, cost-effective, and quality care delivery across the continuum.
• Collaborates with various stakeholders, including caregivers and healthcare providers, to address care issues and disease processes, utilizing licensed staff for complex cases.
• Assists members with questions and concerns regarding care, providers, or systems.
• Maintains professional relationships with external stakeholders such as hospitals and community resources.
• Generates reports aligned with care coordination goals.

Other Job Requirements

Responsibilities
Requires 3-5 years of experience in Social Work, Nursing, or related healthcare fields, or relevant experience in lieu of a degree. Experience in utilization management, quality assurance, home or facility care, community health, or long-term care is required. Skills include trend analysis, cost/benefit analysis, negotiation, and resource referral coordination. Must understand cost-effective care coordination, data interpretation, decision-making in complex situations, and maintaining accurate records. Effective communication skills are essential for working with clinicians, hospital officials, and service agencies.

General Job Information

Title: Care Coordinator - Remote in Bernalillo/Rio Rancho, NM

Grade: 22

Work Experience - Required: Clinical, Quality

Work Experience - Preferred

Education - Required: GED, High School

Education - Preferred: Associate, Bachelor's

License and Certifications - Required: Driver License, Valid In State

License and Certifications - Preferred: CCM, LCSW, RN, State Licensure

Salary Range

Minimum: $50,225

Maximum: $75,335

This range is based on current data and may vary by location and individual qualifications. The position may include incentives and benefits aimed at supporting health, well-being, and financial security.

Magellan Health is an Equal Opportunity Employer and maintains a Tobacco-Free workplace. All employees must adhere to security, legal, regulatory, contractual, and internal policies.