Care Coordinator

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

📋 Description

• Facilitate care for individual clients and designated populations through assessment, care planning, execution, coordination, monitoring, and evaluation.

• Provide care coordination for members with behavioral health issues necessitating intensive interventions and oversight.

• Conduct thorough health risk and comprehensive needs evaluations.

• Create, communicate, document, and execute care plans.

• Act as the primary contact to ensure that services are delivered correctly.

• Implement, coordinate, and monitor strategies aimed at enhancing members' health and quality-of-life outcomes.

• Address members' social, physical, mental, emotional, spiritual, and supportive needs by utilizing appropriate resources.

• Advocate for members by identifying and rectifying gaps in care.

• Monitor and assess the effectiveness of care plans and interventions.

• Gather clinical path variance data and pinpoint opportunities for improvement.

• Collaborate with members, families, caregivers, legal representatives, physicians, care providers, ancillary services, and interdisciplinary care plan teams.

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

• Facilitate the cost-effective delivery of quality care across the healthcare continuum.

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

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

• Generate reports aligned with care coordination goals.

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

⛳️ Requirements

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

• Familiarity with utilization management, quality assurance, home or facility care, community health, long-term care, or occupational health.

• Experience in analyzing trends based on decision support systems.

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

• Knowledge of referral coordination to community and private/public resources.

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

• Ability to make decisions that require significant analysis and investigation.

• Capacity to determine appropriate actions in complex situations.

• Competence in maintaining complete and accurate enrollee records.

• Strong verbal and written communication skills.

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

• GED or high school diploma required.

• Valid in-state driver’s license necessary.

• Adherence to applicable legal, regulatory, contractual, security, and internal policy requirements.

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health, life, voluntary, and additional benefits.

• Benefits and perks that support physical, mental, emotional, and financial well-being.

• Tobacco-free workplace.