Licensed Care Coordinator (RN)
Company: Magellan Health
Posted on: April 18, 2019
This is a field based position working in the Austin, TX and
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
---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
---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
---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, members 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
- TX State Registered Nurse with behavioral health experience
- 5 years clinical experience
- Associates degree General Job Information Title Licensed Care
Coordinator (RN)Grade23 Job Family Clinical Services Group Country
United States of America FLSA Status United States of America
(Exempt) Recruiting Start Date 4/5/2019 Date Requisition Created
4/3/2019 Minimum Qualifications Education Associates: Nursing
(Required), Masters: Social Work (Required) 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 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.
- Experience in utilization management, quality assurance, home
or facility care, community health, long term care or occupational
- Experience in analyzing trends based on decision support
- Business management skills to include, but not limited to,
cost/benefit analysis, negotiation, and cost containment.
- Knowledge of referral coordination to community and
- 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
- Ability to determine appropriate courses of action in more
complex situations that may not be addressed by existing policies
- Decisions include such matters as changing in staffing levels,
order in which work is done, and application of established
- 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.Magellan Health Services is proud to be an Equal Opportunity
Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every
employee must understand, comply and attest to the security
responsibilities and security controls unique to their
Keywords: Magellan Health, Austin , Licensed Care Coordinator (RN), Healthcare , Austin, Texas
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