Care Coordinator

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

📋 Description

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

• Deliver care coordination to members with behavioral health issues that necessitate intensive interventions and supervision.

• Perform thorough health risk and comprehensive needs assessments that encompass psychosocial, physical, medical, behavioral, environmental, and financial aspects.

• Develop and communicate care plans, serving as the primary contact to ensure the provision of appropriate services.

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

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

• Advocate for members by pinpointing and addressing gaps in care.

• Monitor care plans and evaluate the effectiveness of interventions.

• Regularly review plans to detect care gaps and trends.

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

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

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

• Facilitate cost-effective and high-quality care delivery across the continuum.

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

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

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

• Generate reports that align with care coordination objectives.

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

• Execute duties either virtually or face-to-face based on contractual obligations.

⛳️ Requirements

• Candidates must be residents of Las Cruces, NM, or the surrounding areas.

• 3-5 years of experience in Social Work, Nursing, or a Healthcare-related field, or relevant 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.

• Background in analyzing trends using decision support systems.

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

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

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

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

• Ability to determine suitable courses of action in complex scenarios.

• Skill in maintaining complete and accurate enrollee records.

• Strong verbal and written communication abilities.

• Proficiency in collaborating with clinicians, hospital officials, and service agency contacts.

• GED or High School diploma is required.

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

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health benefits.

• Life benefits.

• Voluntary benefits.

• Additional benefits and perks supporting physical, mental, emotional, and financial well-being.

• Tobacco-free workplace.