This is a fully remote position, open to applicants in New Mexico.

• Facilitates the care of individual clients through assessment, care planning, and evaluation.

• Encourages the effective use of clinical and financial resources to enhance care quality and member satisfaction.

• Offers care coordination for members experiencing behavioral health conditions.

• Performs thorough health risk assessments and comprehensive needs evaluations.

• Communicates and formulates care plans, ensuring that services are delivered appropriately.

• Oversees strategies for members and their families aimed at improving health outcomes.

• Serves as an advocate for members' care requirements and identifies any gaps in care.

• Collaborates with the interdisciplinary care plan team to implement suitable interventions.

• 3-5 years of experience in Social Work, Nursing, or a healthcare-related field, or relevant experience in place of a degree.

• Required experience in utilization management, quality assurance, home or facility care, community health, long-term care, or occupational health.

• Proficient in analyzing trends using decision support systems.

• Business management skills, including cost/benefit analysis, negotiation, and cost containment.

• Knowledgeable in referral coordination to community and private/public resources.

• Requires in-depth understanding of cost-effective care coordination.

• Capable of making decisions that necessitate substantial analysis and investigation.

• Ability to determine suitable courses of action in complex scenarios.

• Competent in maintaining complete and accurate enrollee records.

• Strong verbal and written communication skills.

• Ability to collaborate effectively with clinicians, hospital officials, and service agency contacts.

• Comprehensive benefits package

• Health insurance

• Short-term incentives

Care Coordinator

People also viewed