Remote Care Coordinator - Behavioral Health (Albuquerque)

Magellan Health; Albuquerque (NM); Hybrid; USD 50,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Job summary

Magellan Health in Albuquerque, NM seeks a CISC Care Coordinator to manage care coordination for behavioral health populations, with extensive travel in the community. This remote role combines virtual and face-to-face interactions, coordinating assessment, care planning, implementation, and monitoring to achieve cost-effective, high-quality outcomes.

You will mentor team members, collaborate with interdisciplinary teams, educate providers and families, and advocate for members’ needs while

Qualifications

• 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 to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.
• Knowledge of referral coordination to community and private/public resources.
• Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.
• Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.
• Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.
• 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.

Responsibilities

• Coordinate care for identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation.
• Promotes the appropriate use of clinical and financial resources to improve quality of care and member satisfaction.
• Assists with orientation and mentoring of new team members as appropriate.
• Educates providers, supporting staff, members and families regarding care coordination role and health strategies.
• Facilitates a team approach to coordination and cost-effective delivery to quality care and services.
• Collaborates with the interdisciplinary care plan team to address care issues and disease processes.

Job description

Magellan Health in Albuquerque, NM seeks a CISC Care Coordinator to manage care coordination for behavioral health populations, with extensive travel in the community. This remote role combines virtual and face-to-face interactions, coordinating assessment, care planning, implementation, and monitoring to achieve cost-effective, high-quality outcomes.

You will mentor team members, collaborate with interdisciplinary teams, educate providers and families, and advocate for members’ needs while