Care Coordinator IV-Los Lunas

Presbyterian Healthcare Services • Albuquerque, NM

395d • $65,146 - $99,486

About The Position

The Care Coordinator IV at Los Lunas Presbyterian Healthcare Services is responsible for facilitating a team approach to ensure quality care delivery across various services. This role involves collaborating with an interdisciplinary care plan team to address the specific needs of members, including medical, behavioral, and social aspects. The coordinator will conduct assessments, develop care plans, and monitor the effectiveness of interventions to improve health outcomes for clients with chronic or complex conditions.

Requirements

• Master's degree with 4 years of experience, or Bachelor's degree with 8 years of experience, or Associate's degree with 9 years of experience, or 12 years of relevant experience in lieu of education.
• Valid driver's license and clean driving record with the ability to travel locally.
• Experience in utilization management, quality assurance, home care, community health, long-term care, or occupational health.
• Proficiency in Microsoft Word, Excel, and Outlook.
• Experience in analyzing trends based on decision support systems.
• Business management skills including cost/benefit analysis, negotiation, and cost containment.

Nice To Haves

• Certification as a Pharmacy Technician.
• Experience in care plans and quality assurance processes.

Responsibilities

• Facilitates a team approach with the Interdisciplinary Care Plan team to ensure appropriate interventions and cost-effective delivery of quality care.
• Collaborates with various stakeholders, including members, caregivers, and healthcare providers, to address care issues and specific member needs.
• Conducts in-depth health risk assessments and comprehensive needs assessments.
• Provides care coordination for members with chronic or complex conditions requiring intensive interventions.
• Implements, coordinates, and monitors strategies to improve health and quality of life outcomes for members and families.
• Develops and documents care plans that address social, physical, mental, emotional, and supportive needs.
• Acts as an advocate for members by identifying and addressing gaps in care.
• Performs ongoing monitoring of care plans to evaluate effectiveness and measures the success of interventions.
• Generates reports in accordance with care coordination goals and educates stakeholders about care coordination roles and health strategies.
• Maintains professional relationships with external stakeholders and complies with case management standards.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Paid time off
• Wellness program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree
• Number of Employees: 10,001+ employees