Care Coordinator

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

📋 Description

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

• Execute responsibilities either virtually or in-person based on contractual obligations.

• Deliver care coordination for members experiencing behavioral health issues that necessitate intensive interventions and supervision.

• Perform thorough health risk evaluations and comprehensive needs assessments encompassing psychosocial, physical, medical, behavioral, environmental, and financial factors.

• Communicate and formulate care plans, serving as the main contact to ensure effective service delivery.

• Implement, coordinate, and monitor strategies aimed at enhancing the 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 care gaps.

• Monitor care plans and assess the effectiveness of interventions.

• Regularly review care plans to pinpoint gaps and trends.

• Gather clinical path variance data for the improvement of services and case management.

• Collaborate with members and interdisciplinary care planning teams to refine care plans.

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

• Facilitate team-oriented, cost-effective delivery of quality care throughout the continuum.

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

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

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

• Generate reports that align with care coordination objectives.

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

⛳️ Requirements

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

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

• Proficiency in analyzing trends utilizing decision support systems.

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

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

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

• Aptitude for making decisions that require substantial analysis and investigation.

• Capability to determine appropriate actions in complex scenarios.

• Ability to maintain thorough and accurate enrollee records.

• Strong verbal and written communication skills.

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

• Must reside in Las Vegas, New Mexico, or the nearby area.

• Valid in-state driver's license is mandatory.

• Required education: GED or high school diploma.

• Compliance with relevant legal, regulatory, contractual, and internal security requirements.

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health, life, voluntary, and various other benefits and perks.

• Tobacco-free workplace.