Care Coordinator III
Care Coordinator III
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Now hiring a Care Coordinator IIISanta Fe/Espanola NM
Facilitates a team approach including the Interdisciplinary Care Plan team to ensure appropriate interventions cost effective delivery of quality care and services across the
continuum. Collaborates with the interdisciplinary care plan team which may include member caregivers member s legal representative physician care providers and
ancillary support services to address care issues specific member needs and disease processes whether medical behavioral social community based or long term care
services. Coordinates care of individual clients with application to identified populations using assessment care planning implementations coordination monitoring and
evaluation for cost effective and quality outcomes
How you belong matters here.
We value our employees differences and find strength in the diversity of our team and community.
At Presbyterian its not just what we do that matters. Its how we do it and it starts with our incredible team. From Information Technology to Food Services and beyond our nonclinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
- Full Time Exempt: Yes
- Job is based Santa Fe/Espanola NM
- Work hours: Weekday Schedule MondayFriday
- Benefits: We offer a wide range of benefits including medical wellness program vision dental paid time off retirement and more for FT employees.
Ideal Candidate:
- Experience in utilization management quality assurance home care community health long term care or occupational health required. CCM certification preferred or must obtain within 3 years of hire.
- Proficiency in Microsoft Word Excel and Outlook required. Experience in analyzing trends based on decision support systems.
Qualifications
- Masters Degree & 2 years exp Bachelors degree & 4 years exp Associates degree & 5 years exp 10 years of exp may be utilized in lieu of other education & exp reqs.
Responsibilities
- Supports Health plan members
- Facilitates a team approach including the Interdisciplinary Care Plan team to ensure appropriate interventions cost effective delivery of quality care and services across the continuum.
- Collaborates with the interdisciplinary care plan team which may include member caregivers member s legal representative physician care providers and ancillary support services to address care issues specific member needs and disease processes whether medical behavioral social community based or long term care
services. - Provides care coordination to members with chronic condition with less complex needs including less community resources. Conducts in depth health risk assessment and/or
comprehensive needs assessment which include but not limited to psychosocial physical medical behavioral environmental and financial parameters. Develops and
communicates plan for authorization of services and serves as point of contact to ensure services are rendered appropriately (i.e. during transition to home care back up
plans community based services). - Assesses and reviews plan of care regularly to identify gaps in care trends to improve health and quality of life outcomes; collects clinical path variance data that indicates
potential areas for improvement of case and services provided; works with members and the interdisciplinary care plan team to adjust plan of care when necessary. - Implements coordinates and monitors strategies for members and families to improve health and quality of life outcomes. Develops documents and implements plan which
provides appropriate resources to address social physical mental emotional spiritual and supportive needs. Acts as an advocate for member s care needs by identifying and
addressing gaps in care. Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the members
care plan. - Provides assistance to members with questions and concerns regarding care providers or delivery system.
- Conducts face to face home visits as required.
- Educates providers support staff members and families regarding care coordination role and health strategies with a focus on memberfocused approach to care. Facilitates
a team approach to the coordination and cost effective delivery to quality care and services. - Maintains professional relationship with external stakeholders such as inpatient outpatient and community resources.
- Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Generates reports in accordance with care
coordination goals. - Complies with Case Management Society of America Standards for Case Management Practice and with CCMC code of Professional Conduct for Case Managers.
- Participates in Interdisciplinary Care Team (ICPT) meetings.
Benefits
All benefitseligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision shortterm and longterm disability group term life insurance and other optional voluntary benefits.
Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your wellbeing. Earn gift cards and more by taking an active role in our personal wellbeing by participating in wellness activities like wellness challenges webinar preventive screening and more.
Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are locally owned notforprofit healthcare system of nine hospitals a statewide health plan and a growing multispecialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees including more than 1600 providers and nearly 4700 nurses.
Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drugfree and tobaccofree employer with smoke free campuses.
Maximum Offer for this position is up to
Compensation Disclaimer
Required Experience:
IC
Employment Type
Full-Time
