Care Coordinator

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

📋 Description

• Oversee client care by conducting assessments, developing care plans, implementing strategies, and ensuring ongoing monitoring and evaluation.

• Execute responsibilities either virtually or in-person in accordance with contractual obligations.

• Encourage the effective utilization of clinical and financial resources to enhance care quality and member satisfaction.

• Provide care coordination for members facing behavioral health challenges that necessitate intensive interventions and supervision.

• Perform thorough health risk assessments and comprehensive needs evaluations.

• Communicate effectively to develop care plans and act as the primary liaison for service delivery.

• Implement, coordinate, and monitor initiatives designed to enhance health and quality-of-life outcomes for members and their families.

• Create, document, and execute plans that address social, physical, mental, emotional, spiritual, and supportive needs.

• Advocate for members by identifying and addressing any gaps in care.

• Supervise care plans and assess the effectiveness of interventions.

• Regularly review care plans to spot care gaps and emerging trends.

• Gather clinical path variance data to pinpoint areas for improvement.

• Collaborate with members and interdisciplinary care teams to amend care plans as necessary.

• Educate providers, staff, members, and families on care coordination and health strategies.

• Facilitate the team-oriented, cost-effective provision of high-quality care and services.

• Partner with members, caregivers, legal representatives, physicians, care providers, and ancillary support services.

• Utilize licensed care coordination personnel for complex cases when appropriate.

• Assist members with inquiries and concerns regarding care, providers, or delivery systems.

• Maintain professional relationships with stakeholders across inpatient, outpatient, and community settings.

• Generate reports that align with care coordination objectives.

• Support the orientation and mentoring of new team members as needed.

• Undertake additional responsibilities that align with the role's purpose as assigned.

⛳️ Requirements

• Candidates must reside in Roswell, NM, or the surrounding areas of Chaves or Eddy County.

• 3–5 years of experience in Social Work, Nursing, a Healthcare-related field, or equivalent experience in lieu of a degree.

• Background 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 expertise, including cost/benefit analysis, negotiation, and cost containment.

• Familiarity with referral coordination to community and private/public resources.

• Comprehensive understanding of cost-effective care coordination and data analysis.

• Capability to make informed decisions that require substantial analysis and investigation.

• Ability to determine actions in complex situations that are not covered by existing policies or protocols.

• Proficient 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.

• Required education: GED or high school diploma.

• A valid in-state driver's license is mandatory.

• Must adhere to security responsibilities, controls, and legal, regulatory, contractual, and internal policy requirements.

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health benefits.

• Life benefits.

• Voluntary benefits.

• Additional benefits and perks that support physical, mental, emotional, and financial wellbeing.

• Tobacco-free workplace.