Care Coordinator - Roswell, NM

VetJobs • Roswell, NM

1d • $50,225 - $75,335 • Onsite

About The Position

The Care Coordinator coordinates care for individual clients and identified populations through assessment, care planning, implementation, coordination, monitoring, and evaluation to support cost-effective, quality outcomes. Duties are performed virtually or face-to-face according to contractual requirements. The role promotes appropriate use of clinical and financial resources to improve care quality and member satisfaction and may assist with orienting and mentoring new team members.

The position provides care coordination for members with behavioral health conditions requiring intensive interventions and oversight across clinical, social, and community resources. The coordinator assesses members’ psychosocial, physical, medical, behavioral, environmental, and financial needs; develops and implements care plans; connects members with appropriate resources; monitors outcomes; and advocates to address gaps in care. The coordinator works with members, families, caregivers, providers, and interdisciplinary care teams to arrange appropriate services, adjust care plans, educate stakeholders, and support coordinated, cost-effective care. The role also maintains enrollee records, analyzes care and service data, and generates reports in accordance with care coordination goals.

Requirements

• Three to five years of experience in social work, nursing, or a healthcare-related field, or relevant experience in lieu of a degree.
• Experience in utilization management, quality assurance, home or facility care, community health, long-term care, or occupational health.
• Experience analyzing trends based on decision support systems.
• Business management skills, including cost/benefit analysis, negotiation, and cost containment.
• Knowledge of referral coordination to community and private or public resources.
• Detailed knowledge of cost-effective care coordination, including interpreting data and understanding what work is done, how it is done, and why.
• Ability to make decisions requiring significant analysis and investigation, with solutions requiring original thinking.
• Ability to determine appropriate courses of action in complex situations not addressed by existing policies or protocols.
• Ability to make decisions involving matters such as staffing levels, work prioritization, and application of established procedures.
• Effective verbal and written communication skills.
• Ability to work well with clinicians, hospital officials, and service agency contacts.
• High school diploma or GED.
• Valid in-state driver license.

Nice To Haves

• Associate degree or bachelor’s degree.
• Certified Case Manager (CCM) certification.
• Licensed Clinical Social Worker (LCSW) credential.
• Registered Nurse (RN) license in a state or compact state.

Responsibilities

• Coordinate client care through assessment, care planning, implementation, coordination, monitoring, and evaluation.
• Provide intensive care coordination and oversight for members with behavioral health conditions and multiple clinical, social, and community resource needs.
• Conduct in-depth health risk and comprehensive needs assessments, including psychosocial, physical, medical, behavioral, environmental, and financial factors.
• Communicate and develop care plans and serve as a point of contact to ensure services are appropriately delivered, including during transitions to home care and arrangements for backup plans and community-based services.
• Implement, coordinate, and monitor strategies intended to improve members’ and families’ health and quality-of-life outcomes.
• Develop, document, and implement plans addressing social, physical, mental, emotional, spiritual, and supportive needs.
• Advocate for members’ care needs by identifying and addressing gaps in care.
• Monitor plans of care and evaluate the effectiveness of interventions; review plans regularly to identify care 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 plans of care as needed.
• Educate providers, support staff, members, and families about care coordination and health strategies using a member-focused approach.
• Facilitate team-based, cost-effective delivery of quality care and services across the continuum.
• Collaborate with members, caregivers, legal representatives, physicians, care providers, and ancillary support services to address care issues and medical, behavioral, social, community-based, or long-term care 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.
• Maintain complete and accurate enrollee records.
• Assist with orientation and mentoring of new team members as appropriate.
• Perform additional or other duties assigned by a leader that align with the intent of the job.

Benefits

• The position may be eligible for short-term incentives.
• Comprehensive benefits package.
• Health, life, voluntary, and other benefits and perks intended to support physical, mental, emotional, and financial well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED