Community Case Manager (NM - Farmington/San Juan County)

Adobe Care And Wellness LLC•Farmington, NM

3d•$50,000 - $60,000•Onsite

About The Position

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch. Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted in inclusivity, human kindness, and high-quality care. Recognized by Inc. 5000 as one of America’s Fastest-Growing Private Companies and honored five consecutive years as a “Best Place to Work” by the Phoenix Business Journal, APH continues to expand its reach and impact. APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation’s few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines. With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need. 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 Farmington, San Juan 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.