Care Coordinator

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

📋 Description

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

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

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

• Provide comprehensive care coordination and oversight for members experiencing behavioral health issues.

• Conduct thorough health risk assessments and extensive needs evaluations.

• Communicate and formulate care plans, serving as the main point of contact for service delivery.

• Implement, coordinate, and monitor strategies aimed at improving health outcomes and quality of life for members and their families.

• Develop, document, and execute plans that address social, physical, mental, emotional, spiritual, and supportive requirements.

• Advocate for members by identifying and addressing care gaps.

• Monitor care plans and assess the effectiveness of interventions.

• Review care plans, identify gaps and trends, and gather clinical path variance data.

• Collaborate with members, families, and interdisciplinary care teams to revise care plans as necessary.

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

• Facilitate interdisciplinary team approaches for cost-effective and high-quality care delivery.

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

• Assist members with queries related to care, providers, and delivery systems.

• Maintain professional relationships with external stakeholders and community resources.

• Generate reports that align with care coordination objectives.

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

⛳️ Requirements

• Candidates must reside in the Albuquerque, NM area.

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

• Required experience in 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 public/private resources.

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

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

• Capability to determine appropriate actions in complex situations not covered by existing policies or protocols.

• Proficient in maintaining complete and accurate enrollee records.

• Effective verbal and written communication abilities.

• 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 required.

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

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health, life, voluntary, and additional benefits and perks that support physical, mental, emotional, and financial wellbeing.

• Tobacco-free workplace.