Care Coordinator

Magellan Health

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

Posted 10/8/2026full-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 trend identification to enhance care delivery and outcomes.

Highest-signal resume keywords

Care CoordinationBehavioral Health ExperienceUtilization ManagementData AnalysisEffective Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AssessmentCare PlanningHealth Risk AssessmentQuality AssuranceCost/Benefit AnalysisData InterpretationDecision Support SystemsRecord MaintenanceCare Plan MonitoringIntervention Effectiveness Measurement

Soft Skills

AdvocacyCollaborationNegotiationProblem SolvingVerbal Communication

Certifications & Qualifications

GED or High School DiplomaValid In-State Driver's License

Industry Keywords

Social WorkHealthcareCommunity HealthLong-Term CareOccupational HealthCost-Effective Care CoordinationInterdisciplinary Care TeamsService DeliveryClinical Path VarianceCare Coordination Goals

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
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 factors
Communicate and develop care plans and serve as the point of contact for service delivery
Implement, coordinate, and monitor strategies to improve members' 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 regularly to identify gaps and improvement trends
Collect clinical path variance data to identify areas for improvement
Work with members and interdisciplinary care plan teams to adjust care plans
Educate providers, staff, members, and families about 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
Utilize licensed care coordination staff for complex cases as appropriate
Assist members with questions and concerns regarding care, providers, or delivery systems
Maintain professional relationships with inpatient, outpatient, and community resources
Generate reports aligned with care coordination goals
Travel extensively in the community while working from home

Requirements

What you’ll need

Candidate must live in the Rio Rancho, NM or surrounding area
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 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 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
Required education: GED or high school
Valid in-state driver's license required
Must comply with security responsibilities, controls, legal, regulatory, contractual, and internal policy requirements

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