Care Worker

Magellan Health; United States; Remote; USD 37,000 - 57,000; Full time

Job summary

A leading healthcare company seeks a Care Worker to provide administrative support and facilitate care coordination. This remote position involves understanding plan benefits, community resources, and assisting in transitions of care. Candidates should have an associate degree and relevant clinical experience.

Qualifications

• Required clinical work experience.
• Understanding of Chronic Pain Management guidelines for specific roles.

Responsibilities

• Facilitates department workflow with administrative care coordination support.
• Provides non-clinical support for utilization management and case management.
• Coordinates distribution of correspondence to enrollees and providers.

Skills

Understanding of plan benefit structures

Knowledge of psychiatric/medical terminology

Research skills for community resources

Education

Associate degree

Job description

Job Description

The position is 100% remote. Candidates do not need to live in Idaho, however, must be able to work 8 am - 5 pm MT.

Facilitates department workflow by supporting the clinical team with administrative care coordination support. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals and providers.

1. Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
2. Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
3. Has current knowledge or researches availability of community resources and services and links members to appropriate services. May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.
4. Assumes responsibility for self-development and career progression.
5. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.
6. Assists in the mentoring and training of new Care Workers.
7. Remains responsible for updating self on ever-changing information to ensure accuracy when dealing with members and providers.
8. Coordinates and manages distribution of correspondence and materials to enrollees and providers.
9. Participates in operational activities, including data collection, tracking, and analysis.

Other Job Requirements

Responsibilities

• Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.
• For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required.

General Job Information

Title: Care Worker

Grade: 19

Work Experience - Required: Clinical

Work Experience - Preferred: (Not specified)

Education - Required: Associate degree

Education - Preferred: (Not specified)

License and Certifications - Required: (Not specified)

License and Certifications - Preferred: (Not specified)

Salary Range

Minimum: $37,725

Maximum: $56,595

This reflects the anticipated base salary range based on current national data. Actual pay may vary based on skills, experience, education, and other factors. The position may be eligible for incentives and benefits, including health, life, voluntary, and other perks.

Magellan Health, Inc. is an Equal Opportunity Employer and a Tobacco-free workplace. All employees must understand and comply with security responsibilities, legal, regulatory, contractual, and internal policies.