Care Coordinator - Clovis, NM
About The Position
The Care Coordinator coordinates care for individual clients in identified populations through assessment, care planning, implementation, coordination, monitoring, and evaluation, with the goal of cost-effective, quality outcomes. Duties are performed virtually or face-to-face based on contractual requirements. This is a remote position serving community areas of Clovis and Portales, New Mexico, and candidates are sought who reside near those areas. The role provides care coordination for members with behavioral health conditions who require intensive interventions and oversight across clinical, social, and community resources. The Care Coordinator conducts in-depth health-risk and comprehensive needs assessments; develops, communicates, documents, and implements care plans; monitors their effectiveness; and helps identify and address gaps in care. The position works with members, families, caregivers, providers, and interdisciplinary care teams to coordinate appropriate services and improve health and quality-of-life outcomes. The Care Coordinator also educates members and care partners, advocates for members’ care needs, maintains relationships with external stakeholders, and generates reports aligned with care coordination goals. The listed duties are representative, not exhaustive; additional duties aligned with the role may be assigned.
Responsibilities
- Coordinate care through assessment, care planning, implementation, coordination, monitoring, and evaluation to support cost-effective, quality outcomes.
- Provide care coordination to members with behavioral health conditions requiring intensive interventions and oversight across clinical, social, and community resources.
- Conduct in-depth health-risk and comprehensive needs assessments, including psychosocial, physical, medical, behavioral, environmental, and financial parameters.
- Communicate, develop, document, and implement care plans that address members’ social, physical, mental, emotional, spiritual, and supportive needs.
- Serve as a point of contact to help ensure services are appropriately rendered, including during transitions to home care and arrangements for backup plans and community-based services.
- Implement, coordinate, and monitor strategies for members and families to improve health and quality-of-life outcomes.
- Advocate for members by identifying and addressing gaps in care.
- Monitor care plans, measure intervention effectiveness, and regularly review plans to identify gaps and trends.
- Collect clinical path variance data that may indicate opportunities to improve cases and services.
- Work with members and interdisciplinary care plan teams to adjust care plans when needed.
- Educate providers, supporting staff, members, and families about care coordination and health strategies using a member-focused approach.
- Facilitate a team approach to the appropriate, cost-effective delivery of quality care and services across the continuum.
- Collaborate with interdisciplinary care plan teams, which may include members, caregivers, legal representatives, physicians, care providers, and ancillary support services, to address care issues and member needs.
- Use licensed care coordination staff as appropriate for complex cases.
- Assist members with questions and concerns about care, providers, or the delivery system.
- Maintain professional relationships with external stakeholders, including inpatient, outpatient, and community resources.
- Generate reports in accordance with care coordination goals.
- Assist with orientation and mentoring of new team members as appropriate.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
