Care Coordinator
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Care Coordinator managing behavioral-health assessments, care plans, and interdisciplinary services for Magellan Health members in Las Cruces. Improving quality, outcomes, and cost-effective resource use.
Responsibilities:
- Coordinate care for individual clients and identified populations through assessment, care planning, implementation, coordination, monitoring, and evaluation
- Provide virtual or face-to-face care coordination according to contractual requirements
- Promote appropriate use of clinical and financial resources to improve quality of care and member satisfaction
- Provide care coordination to members with behavioral health conditions requiring intensive interventions and oversight
- Conduct in-depth health risk and comprehensive needs assessments covering psychosocial, physical, medical, behavioral, environmental, and financial parameters
- Develop, communicate, document, and implement care plans and serve as the point of contact for service delivery
- Coordinate and monitor strategies to improve members' and families' health and quality-of-life outcomes
- Identify and address gaps in care and advocate for members' care needs
- Monitor plans of care and measure intervention effectiveness
- Collect clinical path variance data to identify improvement opportunities
- Work with members and interdisciplinary care plan teams to adjust plans of care
- Educate providers, staff, members, and families on care coordination and health strategies
- Facilitate interdisciplinary teamwork and cost-effective delivery of quality care and services
- Collaborate with members, caregivers, legal representatives, physicians, care providers, and ancillary support services
- Assist members with questions and concerns regarding care, providers, or delivery systems
- Maintain professional relationships with inpatient, outpatient, and community resources
- Generate reports in accordance with care coordination goals
- Assist with orientation and mentoring of new team members as appropriate
Requirements:
- 3–5 years' experience in Social Work, Nursing, 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
- Experience analyzing trends based on decision support systems
- Business management skills, including cost/benefit analysis, negotiation, and cost containment
- Knowledge of referral coordination to community and private/public resources
- Detailed knowledge of cost-effective care coordination and interpretation of data
- Ability to make decisions requiring significant analysis and investigation
- Ability to determine courses of action in complex situations not 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
- Required education: GED or high school
- Valid in-state driver's license required
- Must comply with applicable legal, regulatory, contractual, and internal policy requirements
- Must understand, comply with, and attest to role-specific security responsibilities and controls
Benefits:
- Potential eligibility for short-term incentives
- Comprehensive benefits package
- Health, life, voluntary, and other benefits
- Benefits and perks supporting physical, mental, emotional, and financial wellbeing
- Tobacco-free workplace
Similar Jobs
LTSS Care Management Support Coordinator II
Remote Illinois care management coordinator supporting LTSS Waiver members for Centene. Handling member outreach, scheduling, resources, and administrative records.
Care Coordinator II – Foster Care
Care Coordinator supporting foster children’s healthcare through phone outreach, home visits, and care-plan coordination. Helping Centene connect members with providers, benefits, and community resources.
Weekend Managed Care Coordinator
Weekend Managed Care Coordinator securing insurance authorizations for Concierge Home Care’s home health patients. Verifying benefits, managing payer portals, and preventing authorization gaps.
Care Coordinator, Eddy County, Lea County, Chaves County
Care Coordinator coordinating intensive behavioral health services and resources for Magellan Health members. Conducting assessments, care plans, monitoring, and interdisciplinary collaboration across New Mexico counties.
LTC Care Coordinator
Care Coordinator supporting NorthStar members with healthcare navigation, benefit questions, and care management. Managing caseloads, documenting calls, and coordinating interdisciplinary member support.
Children's Care Coordinator
Children’s Care Coordinator delivering integrated behavioral health services for Maine families. Coordinating care plans, community resources, and provider teams through field-based support.
Participant Care & Rostering Coordinator, NDIS
NDIS rostering coordinator supporting an Australian disability services provider. Managing participant communications, rosters, complaints, HR inboxes and operational KPIs remotely.
Regional Care Coordinator
Regional coordinator overseeing Army EFMP respite care for eligible military families. Managing intake, provider matching, supervision, compliance, continuity, and reporting across assigned installations.
Pre-Service RN Care Coordinator
RN care coordinator supporting post-acute care, equipment, and transitions for Cigna’s health services business. Coordinating members, providers, and internal teams remotely.
Care Management Coordinator
Care Management Coordinator coordinating care for dual eligible populations at CVS Health, conducting health risk surveys and supporting member engagement. Collaborating with care management teams to assist members.
Care Coordinator II, III, RN, Licensed SW
Care Coordinator providing medical and social services in Minnesota community. Ensuring personalized care plans and coordination for senior members and members with disabilities.
Evening Care Coordinator
Evening Care Coordinator monitoring caregiver schedules for Tandem Care while working remotely. Supporting caregivers and ensuring smooth operations during evening shifts.
Nurse Care Coordinator
Workers' Compensation Care Coordinator ensuring quality care and patient rehabilitation at Carisk Partners. Engaging with patients and providers for optimal outcomes in a timely manner.
Spiritual Care Coordinator
Coordinator Spiritual Care providing leadership and support for spiritual care across multiple hospital sites. Ensuring inclusive and trauma-informed spiritual care practices for patients and families in a healthcare setting.
No more related jobs available.