- 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, (i.e. during transition to home care, back up plans, community based services).
- 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.
- Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.
- 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.
-
Care Coordinator
2 weeks ago
BPA Health Boise, United StatesGeneral Position Summary: · The Care Coordinator is responsible for providing strengths-based needs assessment, treatment plan and coordination of services for children and youth within the Youth Empowerment System (YES) of care in Idaho utilizing the High-Fidelity Wraparound mo ...
-
Care Coordinator
3 weeks ago
Idaho State Job Bank Boise, United StatesCare Coordinator (Bilingual/ Spanish) at Magellan Health Services in Boise, Idaho, United States Job Description Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, ...
-
Care Coordinator
3 weeks ago
Magellan Health Boise, United StatesProvides 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 ...
-
Care Coordinator
2 weeks ago
BPA Health Boise, United StatesGeneral Position Summary: The Care Coordinator is responsible for providing strengths-based needs assessment, treatment plan and coordination of services for children and youth within the Youth Empowerment System (YES) of care in Idaho utilizing the High-Fidelity Wraparound model ...
-
Care Coordinator
5 hours ago
Home Instead Senior Care Boise, United StatesGreater Boise and Nampa AreaAre you a professional looking for a rewarding position where you can give back to our aging populations and grow as a team? Do you have experience or a desire to care for others and a need to be fulfilled with your career in serving people? may be lo ...
-
Care Coordinator
1 week ago
NorthPoint Recovery Boise, United StatesJob Title: Care Coordinator (PRN) · Reports To: Adolescent Lead Counselor · Located in Nampa, Idaho, Imagine by Northpoint is part of a growing organization dedicated to helping adolescents and their family members in crisis, suffering from mental health disorders and unresolv ...
-
Care Coordinator
1 week ago
BPA Health Inc Boise, United StatesJob Description · Job DescriptionDescription:General Position Summary: · The Care Coordinator is responsible for providing strengths-based needs assessment, treatment plan and coordination of services for children and youth within the Youth Empowerment System (YES) of care in Ida ...
-
pediatric care coordinator
3 weeks ago
St. Luke's Health System Boise, ID , USA, United States**Overview** · Our patients come from all walks of life and so do we We foster an environment that embraces our employees' unique strengths, experiences and perspectives which drive our exceptional patient-centered care. We strive to build a positive, supportive, and inclusive cu ...
-
Client Care Coordinator
3 weeks ago
Comfort Keepers Boise, United StatesAre you a dynamic, driven individual interested in providing compassionate solutions for prospective clients and their families that could positively impact their lives? · At Comfort Keepers of Boise, ID, we are looking for a Care Coordinator to join our company and act as a po ...
-
Patient Care Coordinator
3 weeks ago
HearingLife Boise, United States· Patient Care Coordinator · Job Locations · US-ID-Boise · Job System ID · # of Openings · 1 · Overview · Who WE Are: · HearingLifeis a national hearing care company and part of the Demant Group, a global leader in hearing healthcare builton a heritage of care, health and inno ...
-
Patient Care Coordinator
5 days ago
Idaho State Job Bank Boise, United StatesPatient Care Coordinator at Sedgwick in Boise, Idaho, United States Job Description The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. Taking care of people is at the heart of ...
-
Associate Care Coordinator
3 weeks ago
Idaho State Job Bank Boise, United StatesAssociate Care Coordinator - REMOTE at Danaher Corporation in Boise, Idaho, United States Job Description Be part of something altogether life-changing Working at Cytiva in the Life Sciences industry means being at the forefront of providing new solutions to transform human healt ...
-
Patient Care Coordinator
1 day ago
Blink Health Boise, United StatesCompany Overview:Blink Health is a healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resu ...
-
Patient Care Coordinator
2 days ago
Blink Health Boise, United StatesCompany Overview:Blink Health is a healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resu ...
-
Resident Care Coordinator
1 week ago
Truewood by Merrill, Boise Boise, United StatesTruewood by Merrill, Boise - Senior Living Resident Care Coordinator · Are you passionate about working with seniors? Are you dedicated to supporting seniors on their wellness journey to ensure they are provided with an atmosphere that values individualism and dignity? If so, we ...
-
Behavioral Health Care Coordinator
1 week ago
Idaho State Job Bank Boise, United StatesBehavioral Health Care Coordinator at Behavioral Health Solutions in Boise, Idaho, United States Job Description Behavioral Health Solutions (BHS) is now hiring a full-time Behavioral Health Care Coordinator, to work directly at our Boise, ID office. The Behavioral Health Care Co ...
-
Care Coordinator
3 weeks ago
Idaho State Job Bank Meridian, United StatesCare Coordinator at Elevance Health in MERIDIAN, Idaho, United States Job Description WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed onlin ...
-
Front Office Coordinator
3 weeks ago
Michigan Software Labs Ada, United States Part timeMichiganLabs is in search of a Part-Time Temporary **Front Office Coordinator **who will work to maintain the office and its supporting operations. As the first point of contact for visitors to our office, the Front Office Coordinator creates a warm, welcoming environment while a ...
-
Special Education Paraprofessional
3 weeks ago
Forest Hills Public School District Ada, United States**Special Education Paraprofessional** · - Eastern Middle_ · **Reports To**: Building Principal · **Pay Grade**: Grade 3, Step 1, $15.57 per hour · **Schedule**: 3.25 hours per day / 16.25 hours per week / 5 days per week / School year position · **Job Summary**:Under the direct ...
-
Senior Physician
3 weeks ago
Apex Solutions Boise City, United StatesFor a client in Schleswig-Holstein, we are currently seeking an attending physician (m/f/d) for trauma surgery and orthopedics. · The primary care provider has approximately 100 beds. The surgery department occupies one third of the beds and covers almost all major areas of surge ...
Care Coordinator - Boise, United States - Magellan Health
Description
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, (i.e.
during transition to home care, back up plans, community based services).
• 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.
•Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective
delivery of quality care and services across the continuum.
•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.
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 (Bilingual/ Spanish)Grade
22Work Experience - Required
Clinical, QualityWork Experience - Preferred
Education - Required
GED, High SchoolEducation - Preferred
Associate, Bachelor'sLicense and Certifications - Required
DL - Driver License, Valid In State - OtherLicense 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 MgmtSalary Range
Salary Minimum:
$50,225Salary Maximum:
$75,335This 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.