Community Care Case Manager - Albuquerque/Bernalillo County
About The Position
As a Population Health Company, we are seeking a Community Care Case Manager to play a pivotal role in coordinating and managing the care of individuals within the community, ensuring they receive comprehensive and integrated services. This position requires a skilled and compassionate professional who can assess clients' needs, develop care plans, and collaborate with various healthcare and social service providers. The Community Care Case Manager advocates for clients promotes their well-being and facilitates access to resources that support health and independence. As a Community Care Case Manager, you will play a critical role in improving the health outcomes and quality of life for individuals within the community. Their comprehensive and client-centered approach helps bridge gaps in care, promotes wellness, and empowers clients to achieve their health goals. This role reports to our Community Care Area Manager. This position is based in the field and requires travel throughout Albuquerque, Bernalillo County, and surrounding areas to support members.
Requirements
- Two (2) years of relevant of social work or healthcare-related experience strongly preferred.
- Natural ability to develop innovative solutions, drive growth, and build relationships with members.
- Experience in conducting comprehensive needs assessments and developing care plans.
- Knowledge of local health resources and services.
- Ability to work collaboratively within a team and with diverse community resources.
- Strong communication and interpersonal skills.
- Bachelor’s degree required. Two years of relevant healthcare experience will also be considered.
- Current and unrestricted driver's license.
- Must maintain current CPR certification.
Nice To Haves
- Master’s degree preferred.
Responsibilities
- Ensure care coordination complies with 42 C.F.R. § 438.208 and all relevant agreement requirements.
- Perform standardized Health Risk Assessments (HRAs) as per New Mexico Health Services Department guidelines, determining if members need comprehensive assessments.
- Accurately place each member in appropriate care coordination levels as per agreement standards.
- Conduct Comprehensive Needs Assessments (CNAs) for members meeting specific conditions, complete related questionnaires, and agreements, and inform members about community benefits tailored to their needs.
- Develop and implement Comprehensive Care Plans (CCPs) based on individual member needs and preferences in alignment with the agreement guidelines.
- Deliver continuous care coordination services in accordance with the member’s assessed needs, CCP, and required frequency of contact.
- Consistently assess and respond to members' needs for services and assistance.
- Conduct CNAs for members meeting specified indicators to determine their assignment to care coordination level 2 or 3, and ensure compliance with requirements for members not assigned to these levels.
- Utilize a care coordination team approach, collaborating with various health and community resources to address member needs effectively.
- Other Duties as assigned by management.
Benefits
- Paid Orientation and Training
- Insurance – Medical, Dental, Vision, and Life
- 401k Plan – 3% match
- Employee Assistance Program
- Tuition Reimbursement
- Continued Education Support
- Mileage Reimbursement (if applicable)
- Referral Bonuses
- Paid Holidays (9 days)
- Paid Time Off (15 days)
- Paid Volunteer Hours
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
