Facilitates department workflow by supporting clinical team with administrative care coordination support. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.
Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
Has current knowledge or researches availability of community resources and services and link members to appropriate services. May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.
Assumes responsibility for self-development and career progression.
Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.
Assists in the mentoring and training of new Care Workers.
Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
Coordinates and manages distribution of correspondence and materials to enrollees and providers.
Participates in operational activities, including data collection, tracking, and analysis.
Other Job Requirements
Responsibilities
-Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources. -For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required.
General Job Information
Title
Care Worker (Must reside in California)
Grade
19
Work Experience - Required
Work Experience - Preferred
Clinical
Education - Required
Education - Preferred
Associate
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.
