Care Coordinator

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

📋 Description

• Coordinate care for individual clients through assessment, care planning, implementation, coordination, monitoring, and evaluation.

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

• Encourage the appropriate utilization of clinical and financial resources.

• Provide care coordination for members with behavioral health conditions that necessitate intensive interventions and oversight.

• Carry out comprehensive health risk and needs assessments.

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

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

• 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.

• Monitor care plans and assess the effectiveness of interventions.

• Regularly review care plans and gather clinical path variance data.

• Collaborate with members and interdisciplinary care plan teams to modify care plans as needed.

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

• Facilitate team-based, cost-effective delivery of high-quality care and services.

• Work in conjunction with members, caregivers, legal representatives, physicians, care providers, and ancillary support services.

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

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

• Generate reports aligned with care coordination objectives.

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

⛳️ Requirements

• Candidates must reside in the Albuquerque, NM area.

• 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 using decision support systems.

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

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

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

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

• Capability to determine actions in complex situations.

• Ability to maintain complete and accurate enrollee records.

• Strong verbal and written communication skills.

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

• GED or high school diploma required.

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

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health, life, voluntary, and additional benefits.

• Benefits and perks that promote physical, mental, emotional, and financial wellbeing.

• Tobacco-free workplace.