CISC Care Coordinator, Licensed
6 months ago
Independently 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 performed are either during face-to-face home visits or facility based depending on the assignment. 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. May act as a team lead for non-licensed care coordinators.
- 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 (e.g., 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 members' 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 goals.
Other Job Requirements
Responsibilities
Associate's Degree in Nursing required for RNs, or Master's Degree in Social Work or Healthcare-related field, with an independent license, for Social Workers.
Licensed in State that Services are performed and meets Magellan Credentialing criteria.
2+ years' post-licensure clinical experience.
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 establish strong working relationships with clinicians, hospital officials and service agency contacts. Computer literacy desired.
Ability to maintain complete and accurate enrollee records. Effective verbal and written communication skills.
General Job Information
Title
CISC Care Coordinator, Licensed
Grade
24
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Associate - Nursing, Master's - Social Work
Education - Preferred
License and Certifications - Required
DL - Driver License, Valid In State - Other, LISW - Licensed Independent Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPN - Licensed Practical Nurse - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - Preferred
Salary Range
Salary Minimum:
$58,440
Salary Maximum:
$93,500
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.
-
Care Worker- CISC
6 days ago
Albuquerque, United States Magellan Health Full timeOutreach for this position will involve coordinating with the Children Youth and Families Department, Resource Parents and other entities to schedule appointments for the purpose of care coordination on a monthly basis. It also includes completion of assessments, continued follow up, possible face to face interactions and review of CISC involved members. ...
-
Care Coordination Manager
2 weeks ago
Albuquerque, New Mexico, United States Magellan Health Full timeDelivering High-Quality Patient Care Are you passionate about delivering high-quality patient care? Do you have a strong background in nursing or social work? If so, we encourage you to apply for our CISC Care Coordinator, Licensed position at Magellan Health. About the Position As a CISC Care Coordinator, Licensed, you will play a vital role in our care...
-
Manager, Clinical Care Services- CISC
3 weeks ago
Albuquerque, United States Magellan Health Full timeResponsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. Assists clinical management in the development and on-going management of designated staff. Performs care management review...
-
Healthcare Coordinator Specialist
2 weeks ago
Albuquerque, New Mexico, United States Magellan Health Full timeCare Coordination for Enhanced Patient Outcomes At Magellan Health, we are seeking a skilled CISC Care Coordinator, Licensed to join our team. As a vital member of our care coordination team, you will be responsible for delivering high-quality patient-centered care to our clients. Salary and Benefits The estimated annual salary for this position is between...
-
Care Coordinator Expert
2 weeks ago
Albuquerque, New Mexico, United States Magellan Health Full time**Job Summary**Care Coordinators play a vital role in ensuring patients receive high-quality care. As a CISC Care Coordinator, you will be responsible for coordinating care for individual clients and promoting cost-effective and quality outcomes.This position involves conducting in-depth health risk assessments, developing comprehensive care plans, and...
-
Care Coordination Specialist
4 weeks ago
Albuquerque, New Mexico, United States Magellan Health Full timeAbout the JobWe are seeking a dedicated CISC Care Coordinator, Licensed to join our team at Magellan Health. As a key member of our care coordination team, you will be responsible for coordinating care for individual clients and promoting quality outcomes.The ideal candidate will have excellent communication and interpersonal skills, with a strong ability to...
-
Medical Navigator Professional
3 weeks ago
Albuquerque, New Mexico, United States Magellan Health Full timeCare Coordination for Improved Health Outcomes At Magellan Health, we are committed to delivering high-quality patient care and improving health outcomes for our clients. As a CISC Care Coordinator, Licensed, you will play a critical role in our care coordination team, working closely with healthcare providers and community resources to ensure seamless care...
-
Patient Advocacy Manager
3 weeks ago
Albuquerque, New Mexico, United States Magellan Health Full timeAbout the PositionWe are seeking a highly skilled CISC Care Coordinator, Licensed to join our team at Magellan Health. As a key member of our care coordination team, you will be responsible for coordinating care for individual clients and promoting quality outcomes.The ideal candidate will have a strong background in healthcare, with a focus on...
-
Care Coordinator- Licensed
4 weeks ago
Albuquerque, United States Magellan Health Full timeIndependently 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 performed are either during face-to-face home visits or facility based depending on the assignment. Promotes the appropriate...
-
Care Coordinator- Licensed
1 month ago
Albuquerque, United States Magellan Health Full timeIndependently 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 performed are either during face-to-face home visits or facility based depending on the assignment. Promotes the appropriate...
-
Patient Care Coordinator
2 weeks ago
Albuquerque, New Mexico, United States Angels Above Home Care Full timeAbout Angels Above Home Care">We are seeking a dedicated and caring Patient Care Coordinator to join our team at Angels Above Home Care. As a CNA, you will provide essential care and support to our patients in their homes.">Job Description:">As a Patient Care Coordinator, you will be responsible for providing direct patient care, including assisting with...
-
Member Care Coordinator
3 weeks ago
Albuquerque, United States Health Care Service Corporation Full time $19 - $43At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.This position is responsible for contacting...
-
Member Care Coordinator
3 weeks ago
Albuquerque, United States Health Care Service Corporation Full time $19 - $43At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.This position is responsible for contacting...
-
Emergency Care Coordinator
2 weeks ago
Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full timeJob Title: Emergency Care CoordinatorAbout the RoleWe are seeking an experienced Emergency Care Coordinator to join our team at the University of New Mexico - Hospitals. In this vital role, you will be responsible for coordinating emergency care services and working closely with healthcare professionals to provide exceptional patient care.Key...
-
Nurse Care Coordinator
2 weeks ago
Albuquerque, New Mexico, United States Heartwell Services, LLC Full timeJob Title: Nurse Care CoordinatorEstimated Salary: $65,000 - $80,000 per yearAbout Heartwell Services, LLCWe are a leading provider of customized community supports and family living services. Our team is dedicated to delivering high-quality care to individuals with unique needs.Job SummaryWe are seeking an experienced Nurse Care Coordinator to join our...
-
Care Coordinator
2 weeks ago
Albuquerque, New Mexico, United States Anchor Staffing Inc. Full timeJob SummaryAs a skilled Care Coordinator, you will work collaboratively with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key responsibilities include conducting clinical assessments, determining eligibility for case management, and developing and implementing...
-
Care Coordinator
2 weeks ago
Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full timeAbout the JobWe are seeking a highly skilled Care Coordinator to join our team at the University of New Mexico - Hospitals. As a Care Coordinator, you will play a vital role in coordinating and providing services and resources to individuals and families necessary to promote rehabilitation, recovery, and resiliency.Job Summary:The Care Coordinator will work...
-
Clinical Care Coordinator
3 weeks ago
Albuquerque, New Mexico, United States Jet Health Inc Full timeAre you a motivated and empathetic Registered Nurse looking for a challenging role in home health care? Look no further than Jet Health Inc.! As a Clinical Care Coordinator, you will work closely with patients and their families to develop personalized care plans that meet their unique needs.This is a full-time position with a competitive salary of $75,000 -...
-
RN Care Coordinator
2 weeks ago
Albuquerque, New Mexico, United States Forthright Case Management Llc Full timeJob Title:Nurse Case ManagerAbout the Opportunity:We are seeking an experienced Nurse Case Manager to join our team at Forthright Case Management LLC. This is an exciting opportunity to work as part of a dynamic team, providing high-quality care and support to injured employees.The successful candidate will possess a strong background in nursing, case...
-
Home Care Support Coordinator
3 weeks ago
Albuquerque, New Mexico, United States Home Care Assistance of Albuquerque Full timeWe are currently hiring a skilled Home Care Support Coordinator to join our team at Home Care Assistance of Albuquerque. As a member of our 12-hour shift team, you will have the opportunity to work in a dynamic environment where you will triage training and client needs on Fridays, Saturdays, Sundays, and Mondays.This role offers a competitive salary of $17...
