CISC Care Coordinator - Rio Rancho, NM
About The Position
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 position promotes appropriate use of clinical and financial resources to improve quality of care and member satisfaction and may assist with orientation and mentoring of new team members. Provides care coordination for members with behavioral health conditions who require intensive interventions and oversight involving multiple clinical, social, and community resources. Conducts in-depth health risk or comprehensive needs assessments covering psychosocial, physical, medical, behavioral, environmental, and financial factors. Develops and communicates care plans, coordinates services, monitors interventions, advocates for members, and works with members, families, providers, and interdisciplinary teams to address needs and gaps in care. This is a work-from-home position with extensive travel in the community. Candidates must live in Rio Rancho, New Mexico, or the surrounding area.
Responsibilities
- Conduct in-depth health risk and comprehensive needs assessments, including psychosocial, physical, medical, behavioral, environmental, and financial factors.
- Develop, document, communicate, and implement care plans addressing members’ social, physical, mental, emotional, spiritual, and supportive needs.
- Coordinate and monitor services and interventions, including transitions to home care, backup plans, and community-based services.
- Advocate for members by identifying and addressing gaps in care and helping members with questions or concerns about care, providers, or the delivery system.
- Monitor plans of care, evaluate intervention effectiveness, review plans regularly, and work with members and interdisciplinary teams to adjust plans when needed.
- Collect clinical path variance data and generate reports in accordance with care coordination goals.
- Educate providers, support staff, members, and families about care coordination and health strategies using a member-focused approach.
- Facilitate interdisciplinary teamwork to support appropriate interventions and cost-effective delivery of quality care across the continuum.
- Collaborate with 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.
- Maintain professional relationships with external stakeholders, including inpatient, outpatient, and community resources.
- 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
