Remote Care Coordinator, Behavioral Health & Community Resources

Magellan Health, Inc.; Las Vegas (NV); Hybrid; USD 50,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Magellan Health, Inc. is seeking a CISC Care Coordinator to manage care planning, coordination and evaluation for members with behavioral health needs.

This role supports virtual or face-to-face interactions based on contract requirements and requires living in the Albuquerque, NM area or surrounding work travel as needed. You will work with an interdisciplinary team to optimize health outcomes, educate providers, and advocate for cost-effective, quality care while maintaining enrollee records

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 required.
• Experience in analyzing trends based on decision support systems.
• Business management skills to include cost/benefit analysis, negotiation, and cost containment.
• Knowledge of referral coordination to community and private/public resources.
• Ability to make decisions requiring significant analysis and investigation.

Responsibilities

• Coordinate care planning to meet member needs and assess progress.
• Provide care coordination to individuals with behavioral health conditions.
• Educate providers and staff on care coordination and health strategies.
• Advocate for members to address gaps in care and improve outcomes.
• Maintain complete and accurate enrollee records.

Skills

Social work experience

Healthcare experience

Utilization management

Analytical skills

Communication skills

Team coordination

Education

GED/High School diploma

Associate degree

Bachelor's degree

Job description

Magellan Health, Inc. is seeking a CISC Care Coordinator to manage care planning, coordination and evaluation for members with behavioral health needs.

This role supports virtual or face-to-face interactions based on contract requirements and requires living in the Albuquerque, NM area or surrounding work travel as needed. You will work with an interdisciplinary team to optimize health outcomes, educate providers, and advocate for cost-effective, quality care while maintaining enrollee records