Care Coordinator

Magellan Health

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

Posted 9/18/2026full-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, care planning, and implementation, while effectively collaborating with interdisciplinary teams to enhance member health outcomes. Proficient in utilizing data analysis for quality assurance and decision-making in complex healthcare environments.

Highest-signal resume keywords

Care CoordinationUtilization ManagementQuality AssuranceCost/Benefit AnalysisCertified Case Manager (CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AssessmentCare PlanningData InterpretationTrend AnalysisHealth Risk AssessmentCare Plan MonitoringResource CoordinationDocumentationOutcome MeasurementGaps Identification

Soft Skills

Effective CommunicationTeam CollaborationAdvocacyProblem SolvingMentoring

Certifications & Qualifications

Certified Case Manager (CCM)Licensed Clinical Social Worker (LCSW)Registered Nurse (RN)

Industry Keywords

Behavioral HealthCommunity HealthLong-Term CareOccupational HealthHealthcare CoordinationInpatient CareOutpatient CareLegal ComplianceContractual RequirementsCost-Effective Care

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 according to contractual requirements
Promote appropriate use of clinical and financial resources to improve quality of care and member satisfaction
Provide care coordination for 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 factors
Develop, communicate, document, and implement care plans and serve as the point of contact for service delivery
Implement, coordinate, and monitor strategies to improve members' and families' health and quality-of-life outcomes
Address members' social, physical, mental, emotional, spiritual, and supportive needs through appropriate resources
Identify and address gaps in care and advocate for members' care needs
Monitor and evaluate care-plan effectiveness and measure intervention outcomes
Review care plans regularly to identify gaps and trends
Collect clinical path variance data to identify improvement opportunities
Collaborate with interdisciplinary care-plan teams to adjust care plans and coordinate services
Educate providers, staff, members, and families on care coordination and health strategies
Facilitate team-based, cost-effective delivery of quality care across the continuum
Collaborate with members, caregivers, legal representatives, physicians, care providers, and ancillary services on medical, behavioral, social, community-based, and long-term-care needs
Assist members 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, 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 data interpretation
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 with clinicians, hospital officials, and service agency contacts
GED or high school education required
Valid in-state driver's license required
Compliance with applicable legal, regulatory, contractual, and internal policy requirements
Certification/licensure listed as preferred: Certified Case Manager (CCM), Licensed Clinical Social Worker (LCSW), or Registered Nurse (RN) state and/or compact-state licensure

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health benefits
Life benefits
Voluntary benefits
Other benefits and perks supporting physical, mental, emotional, and financial wellbeing
Tobacco-free workplace