Care Coordinator

Magellan Health

Care Coordinator coordinating behavioral and medical services for Magellan Health members in Grants or Gallup, New Mexico. Assessing needs, managing care plans, and improving quality and cost outcomes.

Posted 8/11/2026full-timeRemote • New Mexico • 🇺🇸 United StatesMid-LevelSenior💰 $50,225 - $75,335 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care coordination, including assessment, care planning, and implementation of individualized care plans. Proficient in analyzing trends, managing resources, and collaborating with interdisciplinary teams to enhance member satisfaction and care quality.

Highest-signal resume keywords

Care CoordinationUtilization ManagementQuality AssuranceCost-Effective Care DeliveryBehavioral Health Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AssessmentCare PlanningData InterpretationTrend AnalysisCost/Benefit AnalysisDecision Support SystemsHealth Risk AssessmentMonitoring StrategiesDocumentationReport Generation

Soft Skills

Effective CommunicationCollaborationAdvocacyMentoringProblem Solving

Certifications & Qualifications

CCMLCSWRN State LicensureCompact-State Licensure

Industry Keywords

HealthcareCommunity HealthLong-Term CareOccupational HealthInpatient CareOutpatient CareCare CoordinationBehavioral HealthCost ContainmentReferral Coordination

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 care quality 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 covering psychosocial, physical, medical, behavioral, environmental, and financial factors
Develop, communicate, document, and implement individualized care plans
Serve as a point of contact to ensure services are appropriately delivered, including transitions to home care, backup plans, and community-based services
Monitor strategies and plans of care, measure intervention effectiveness, and identify gaps and trends
Collect clinical path variance data to identify improvement opportunities
Collaborate with interdisciplinary care plan teams, members, caregivers, legal representatives, physicians, care providers, and ancillary services
Educate providers, staff, members, and families on care coordination and health strategies
Facilitate cost-effective delivery of quality care across the continuum
Advocate for members by identifying and addressing gaps in care
Maintain professional relationships with inpatient, outpatient, and community resources
Assist with orientation and mentoring of new team members
Assist members with questions and concerns regarding care, providers, or the delivery system
Generate reports in accordance with care coordination goals

Requirements

What you’ll need

3–5 years of 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 appropriate actions 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 effectively with clinicians, hospital officials, and service agency contacts
Required GED or high school education
Valid in-state driver license required
Preferred: Associate or Bachelor's education
Preferred certifications/licenses include CCM, LCSW, and RN state and/or compact-state licensure
Must comply with position-specific 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 and perks
Professional growth and development
Total health and wellness
Rewards and recognition
Employee unity
Tobacco-free workplace