Care Coordinator

Magellan Health

. Coordinate care for individual clients through assessment, care planning, implementation, coordination, monitoring and evaluation .

Posted 11/4/2026full-timeRemote • New Mexico • United StatesMid-LevelSenior💰 $50,225 - $75,335 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, including assessment, planning, and implementation of health strategies for members with behavioral health conditions. Proficient in utilizing data analysis for quality assurance and cost-effective care delivery while maintaining compliance with regulatory requirements.

Highest-signal resume keywords

Care CoordinationUtilization ManagementQuality AssuranceData InterpretationEffective Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AssessmentCare PlanningHealth Risk AssessmentCost-Benefit AnalysisTrend AnalysisDecision Support SystemsRecord MaintenanceCare Plan MonitoringIntervention Effectiveness MeasurementReferral Coordination

Soft Skills

AdvocacyCollaborationMentoringNegotiationProblem-Solving

Certifications & Qualifications

GEDValid In-State Driver's License

Industry Keywords

HealthcareBehavioral HealthCommunity HealthLong Term CareOccupational HealthCost-Effective CareInterdisciplinary Care TeamsStakeholder EngagementService Delivery SystemsCompliance

About the role

Key responsibilities & impact

Coordinate care for individual clients through assessment, care planning, implementation, coordination, monitoring and evaluation
Perform duties virtually or face-to-face based on 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
Communicate and develop care plans and serve as point of contact to ensure appropriate service delivery
Implement, coordinate and monitor strategies to improve members' and families' health and quality-of-life outcomes
Develop, document and implement plans addressing social, physical, mental, emotional, spiritual and supportive needs
Advocate for members by identifying and addressing gaps in care
Monitor plans of care and measure intervention effectiveness
Review plans of care to identify gaps and trends
Collect clinical path variance data for case and service improvement
Work with members and interdisciplinary care plan teams to adjust plans of care
Educate providers, staff, members and families regarding care coordination and health strategies
Facilitate cost-effective, quality care delivery across the continuum
Collaborate with members, caregivers, legal representatives, physicians, care providers and ancillary support services
Provide assistance with questions and concerns regarding care, providers or delivery systems
Maintain professional relationships with inpatient, outpatient and community stakeholders
Generate reports aligned with care coordination goals
Assist with orientation and mentoring of new team members as appropriate

Requirements

What you’ll need

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 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 data interpretation
Ability to make decisions requiring significant analysis and investigation
Ability to determine appropriate courses of action in complex situations
Ability to maintain complete and accurate enrollee records
Effective verbal and written communication skills
Ability to work with clinicians, hospital officials and service agency contacts
GED or high school education required
Valid in-state driver's license required
Compliance with security responsibilities, applicable legal, regulatory and contractual requirements, and internal policies and procedures

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health, life, voluntary and other benefits
Benefits and perks supporting physical, mental, emotional and financial wellbeing
Tobacco-free workplace