31 Jan
Care Support Specialist - Remote CA
California, San diego , 92101 San diego USA

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

ResponsibilitiesAbility 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 TitleCare Support Specialist - Remote CAGrade19Work Experience - Required Clinical, Social WorkWork Experience - Preferred Education - Required GED, High SchoolEducation - Preferred Associate - Healthcare, Bachelor's - Social WorkLicense and Certifications - Required License and Certifications - Preferred Salary RangeSalary Minimum:$37,725Salary Maximum:$56,595This 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.Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) . Warning: Employment Scam It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. “Interviews” are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office. Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit. If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911


Related jobs

Report job