Care Worker (UM/CM Support - Youth)

Magellan Health

About The Position

Must be able to work 8-5 PST or 9-6 MT 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. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.

Responsibilities

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.