Care Worker/Notice of Action Letter Writer

Phoenix AZ 85034

Job Description

The Care Worker will primarily be responsible for the AHCCCS Notice of Action letter writing process and Letters of Approval. The Care Worker also facilitates department workflow by supporting clinical team with various care coordination workflows. 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.

General Job Information

Title

Care Worker/Notice of Action Letter Writer

Grade

18

Job Family

Clinical Services Group

Country

United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date

9/3/2019

Date Requisition Created

8/29/2019

Work Experience

Clinical

Education

Associates

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Required Qualification

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

Preferred Qualification

  • Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.

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 position.

“I receive a high level of support from our Senior Management Team to execute on our vision. They are always accessible and approachable, something I’ve found to be very unique to Magellan.”