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Care Support Specialist

4 months ago

San Diego, California, United States Magellan Health Full time
This position is responsible for providing administrative and logistics support to Clinical Operations Care Managers in the execution of care planning and coordination of care and services associated with person-centered care plans for the Medicaid, Medicare, and Whole Health markets. This is an unlicensed member of the care team. Enables community research and education for members in care management, along with supporting member engagement with their primary care and other sources of support. Works with licensed Care Managers to meet standards of care and performance set by the Member Market Leads and Care Management Center of Operational Excellence Lead.
  • Provides non-clinical support within the model of care by providing administrative and logistics support for membership.
  • Performs administrative tasks to support the implementation of care plans, including outreach to providers and community resources to connect members and to perform appropriate follow-up.
  • Provides information to members and providers regarding company policies and procedures, mental health managed care programs and community treatment resources.
  • Assists in coordinating behavioral health services for members and supports efforts to link members to appropriate services.
  • Effectively communicates with appropriate care team members or Care Manager when an appropriate provider, type of service or appropriate level of care cannot be readily found.
  • Assists with transition of care activities for members in treatment and support communication with members, hospitals and providers (e.g., discharge planning, member appointment reminder calls, post discharge calls, medication checks, appointment verification calls).
  • Works collaboratively with all clinical operations team members including other care support resources, care managers, transition of care teams, outreach and engagement teams, etc. to enable effective and efficient support of member care.
  • Maintains professional relationship with external stakeholders, such as caregivers, providers, community services, health plan, etc.
  • Demonstrates flexibility and appropriate time management to aid in serving members and help the company achieve its business and operational goals.
  • Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Support role and Magellan required training.
  • Coordinates and supports distribution of correspondence and materials to members and providers as required (e.g., Magellan communications, behavioral health educational and care management material).
  • Provides data entry into electronic health record and maintains appropriate recordkeeping supporting efficient and effective operational management.

Other Job Requirements

Responsibilities

Ability to plan and implement solutions that directly influence quality of care.
Understanding of health plan benefit structures, psychiatric/medical terminology, call center terminology and operations.
Ability to successfully engage, motivate, and communicate with members, team supports, and critical stakeholders.
Strong interpersonal skills.
Strong written and verbal communication skills.

General Job Information

Title

Care Support Specialist - Remote CA

Grade

19

Work Experience - Required

Clinical, Social Work

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associate - Healthcare, Bachelor's - Social Work

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$37,725

Salary Maximum:

$56,595

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.