Care Coordinator IV - Socorro​/T or C, NM

Care Coordinator IV

Requisition :

Category:
Case/Utilization Mgmt/Care Coor

Location:

Socorro General Hospital, Socorro, NM

Minimum

Offer:

USD $32.26/Hr.

Maximum

Offer:

USD $49.26/Hr.

Presbyterian is seeking a Care Coordinator IV
. The Care Coordinator facilitates a team approach, including the Interdisciplinary Care Plan team
, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which may include member, caregivers, member’s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether medical, behavioral, social, community based or long term care services.
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes.

• Full Time position – Exempt:
  Yes
• Job is based at Socorro, NM
• Remote work from home: this job is intended to be conducted in the state of New Mexico.
• Work hours:
  
  Weekday Schedule Monday-Friday
• Must have a valid driver license, clean driving record and be able to travel locally.
• Experience in utilization management, home care, community health, long term care or occupational health required.

• Masters degree & 4 years of experience, Bachelors degree and 8 years of experience, Associate degree and 9 years of experience, 12 years of experience may be utilized in lieu of other education and experience requirements.
• 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.

• Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the Interdisciplinary Care Plan Team which may include member, caregivers, member’s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether medical, behavioral, social, community based or long term care services.
• Conducts in depth health risk assessment and/or comprehensive needs assessment which include, but not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Provides care coordination to members with chronic or complex conditions which require intensive interventions and oversight include multiple, clinical, social and community resources. Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.
• Develops and communicates plan for authorization of services, and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, backup plans, community based services).
• Conducts face to face home visits, as required.
• Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes; collects clinical path variance data that indicates potential areas for improvement of case and services provided; works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.
• Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Generates reports in accordance with care coordination goals.

About Presbyterian Healthcare Services

Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift cards and…