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Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237
Compensation Pay Range: Minimum Offer $57,241.60 Maximum Offer $87,422.40
Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Care Coordinator II to join our team.
How you grow, learn and thrive matters here. * Educational and career development options, including tuition and certification reimbursement, scholarship opportunities * Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern) * Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions) * Malpractice liability insurance * Loan forgiveness through the New Mexico Higher Education Department * EPIC electronic charting system Type of Opportunity: Full time FTE: 1.00 Job Exempt: No Work Shift: Days (United States of America)
Responsibilities:
The Care Coordinator will support the Valencia and Socorro, New Mexico areas. The role facilitates a team-based approach, including the Interdisciplinary Care Plan (ICP) team, to ensure appropriate interventions and the cost-effective delivery of high-quality care and services across the continuum of care. The Care Coordinator collaborates with the interdisciplinary care plan team, which may include the member, caregivers, the member's legal representative, physicians, care providers, and ancillary support services, to address care issues, specific member needs, and disease processes. These may include medical, behavioral, social, community-based, and long-term care services. The Care Coordinator is responsible for coordinating care for individual clients and identified populations through comprehensive assessment, care planning, implementation, coordination, monitoring, and evaluation to ensure cost-effective, quality outcomes. Some key responsibilities include
Supports health plan members through ongoing care coordination. Facilitates a team-based approach with the Interdisciplinary Care Plan (ICP) team to ensure appropriate, cost-effective, high-quality care across the continuum. Collaborates with members, caregivers, providers, and ancillary services to address medical, behavioral, social, and long-term care needs. Conducts comprehensive health risk and needs assessments, including psychosocial, medical, behavioral, environmental, and financial factors. Develops, implements, and communicates individualized care plans, including service authorizations and transitions of care. Coordinates and monitors care plans to identify gaps, improve outcomes, and ensure quality and cost-effectiveness. Implements and evaluates interventions to improve members' health outcomes and quality of life. Serves as an advocate for members by identifying and addressing gaps in care and access to services. Provides education and support to members, families, providers, and staff regarding care coordination and health management. Maintains effective relationships with internal teams and external stakeholders, including community resources and healthcare providers.
Qualifications:
- Masters Degree & 1 years exp, Bachelors Degree & 2 years exp, Associates Degree & 3 years exp, 6 years of exp may be utilized in lieu of other education
- Must have a valid driver license, clean driving record, and able to travel locally.
- Experience in utilization management, quality assurance, home care, community health, long term care or occupational health required. CCM certification preferred or must obtain within 3 years of hire.
- Proficiency in Microsoft Word, Excel and Outlook required. Experience in analyzing trends based on decision support systems.
- Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.
- Knowledge of referral coordination to community & private/public resources.
We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
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