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Note : Candidates must live within a reasonable commute to; Boise, Coeur d'Alene, Idaho Falls or Pocatello, Idaho.
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes.
Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction.
Assists with orientation and mentoring of new team members as appropriate.
Utilizes licensed care coordination staff as appropriate for complex cases.
Other Job Requirements
Responsibilities
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 in analyzing trends based on decision support systems.
Business management skills to include, but not limited to, cost / benefit analysis, negotiation, and cost containment.
Knowledge of referral coordination to community and private / public resources.
Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.
Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.
Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.
Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.
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.
General Job Information
Title
Care Coordinator - Tribal Outreach Liaison (Remote in Idaho only)
Grade
Work Experience - Required
Clinical, Quality
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
Associate, Bachelor's
License and Certifications - Required
License and Certifications - Preferred
CCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse, State and / or Compact State Licensure - Care Mgmt
Salary Range
Salary Minimum : Salary Maximum :
Salary Maximum :
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location.
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE / M / F / Vet / Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position;
and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Last updated : 2024-05-22
Full Time
Hospital
$41k-58k (estimate)
03/25/2024
08/23/2024
magellanofaz.com
AVON, CT
3,000 - 7,500
1969
Public
BARRY M SMITH
$10M - $50M
Hospital
Magellan Health Services engages in the specialty managed healthcare business.
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