Magellan HRSC, Inc.
Care Worker (Personal Services)
ESSENTIAL FUNCTIONS:
- Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion. Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found. Researches availability of community services in order to link members to appropriate services. Assists in transitions in care for hospitalized patients and makes appropriate placements as 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.
General Job Information
Title
Care WorkerGrade
18Job Family
Care ManagementCountry
United States of AmericaFLSA Status
United States of America (Non-Exempt)Recruiting Start Date
3/20/2018Date Requisition Created
3/20/2018Minimum Qualifications
Education
AssociatesLicense and Certifications - Required
License and Certifications - Preferred
Other Job Requirements
Responsibilities
Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management., -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.Competencies
Language(s)
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled