Care Coordinator, Eddy County, Lea County, Chaves County

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

📋 Description

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

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

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

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

• Deliver care coordination for members facing behavioral health challenges that necessitate intensive interventions and oversight.

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

• Communicate and formulate care plans while acting as the primary contact to ensure services are appropriately delivered.

• Implement, coordinate, and oversee strategies aimed at enhancing the health and quality-of-life outcomes for members and their families.

• Design, document, and execute plans addressing social, physical, mental, emotional, spiritual, and supportive needs.

• Advocate for members by recognizing and addressing care gaps.

• Monitor care plans and evaluate the effectiveness of interventions.

• Regularly review plans to identify care gaps and trends.

• Gather clinical path variance data to discover opportunities for improvement.

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

• Inform providers, staff, members, and families about care coordination and health strategies.

• Facilitate a team-oriented, cost-effective approach to delivering quality care and services.

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

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

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

• Prepare reports based on care coordination objectives.

• Adhere to position-specific security responsibilities, legal, regulatory, contractual, and internal policy requirements.

⛳️ Requirements

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

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

• Experience 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 public/private resources.

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

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

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

• Proficiency in maintaining complete and accurate enrollee records.

• Strong verbal and written communication skills.

• Competence 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 necessary.

• CCM, LCSW, or RN certification/licensure is preferred.

🏝️ Benefits

• Short-term incentives may be available.

• Comprehensive benefits package.

• Health, life, voluntary, and other benefits.

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

• Tobacco-free workplace.