Care Worker

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

Job summary

An established industry player is seeking a dedicated Care Worker to facilitate department workflows and support the clinical team with administrative care coordination. In this role, you will connect enrollees with community services, troubleshoot provider issues, and assist in care transitions for hospitalized patients. This position offers the opportunity to enhance your skills through ongoing training and mentorship while playing a vital role in improving patient care. If you're passionate about making a difference in healthcare and enjoy working in a collaborative environment, this is the perfect opportunity for you.

Benefits

Health Insurance

401(k) Plan

Paid Time Off

Flexible Schedule

Qualifications

• Knowledge of psychiatric/medical terminology and local communication resources.
• Experience in clinical settings preferred.

Responsibilities

• Support clinical workflows and coordinate care access for enrollees.
• Participate in training and mentor new Care Workers.

Skills

Utilization Management

Case Management

Disease Management

Health Promotion

Communication Skills

Research Skills

Education

Associate Degree

Job description

Facilitates department workflow by supporting the clinical team with administrative care coordination. Locates community services and referral locations for enrollees, arranges access to care, and 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 issues related to provider availability, service types, or appropriate levels of care.
3. Researches community resources and links members to appropriate services. Assists in care transitions for hospitalized patients and makes placements as needed.
4. Assumes responsibility for self-development and career progression.
5. Participates in ongoing training (formal and informal) related to the Care Worker role.
6. Mentors and trains new Care Workers.
7. Ensures accuracy by updating knowledge on changing information when dealing with members and providers.
8. Coordinates distribution of correspondence and materials to enrollees and providers.
9. Participates in operational activities, including data collection, tracking, and analysis.

Other Job Requirements

Responsibilities

• Knowledge 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 required.

General Job Information

• Title: Care Worker
• Grade: 19
• Work Experience - Required: Yes
• Work Experience - Preferred: Clinical
• Education - Required: Yes
• Education - Preferred: Associate
• License and Certifications - Required: Yes
• License and Certifications - Preferred: Yes

Salary Range

Salary Minimum: $37,725

Salary Maximum: $56,595

This reflects the anticipated base salary range based on current national data. Actual pay will be adjusted based on skills, experience, education, and other factors.

This position may be eligible for incentives and benefits that support overall wellbeing.

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

About the company

Magellan Health Inc. is an American for-profit managed health care company focusing on special populations, pharmacy benefits, and other healthcare specialties.