Care Coordinator

Magellan Health

Care Coordinator providing care to clients with behavioral health conditions through assessment and planning in New Mexico. Collaborating with interdisciplinary teams to improve member outcomes.

Posted 7/2/2026full-timeRemote • New Mexico • 🇺🇸 United StatesMid-LevelSenior💰 $50,225 - $75,335 per yearWebsite

About the role

Key responsibilities & impact

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 performed virtually or face-to-face based on contractual requirements
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
Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources
Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters
Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately
Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes
Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs
Acts as an advocate for member`s care needs by identifying and addressing gaps in care
Performs ongoing monitoring of the plan of care to evaluate effectiveness
Measures the effectiveness of interventions as identified in the members care plan
Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes
Collects clinical path variance data that indicates potential areas for improvement of case and services provided
Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary
Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care
Facilitates a team approach to the coordination and cost-effective delivery to quality care and services
Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long-term care services
Utilizes licensed care coordination staff as appropriate for complex cases
Provides assistance to members with questions and concerns regarding care, providers or delivery system
Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources
Generates reports in accordance with care coordination goal.

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 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
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.

Benefits

Comp & perks

Comprehensive benefits package
Health, life, voluntary and other benefits and perks

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Care PlanningData AnalysisCost/Benefit AnalysisReferral CoordinationMonitoring and Evaluation

Soft Skills

Decision MakingTeam CollaborationMentoringAdvocacyProblem Solving