Care Coordinator IV-Complete Care Program
Care Coordinator IV-Complete Care Program
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 IV.
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 members 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 non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
- Per Required Need - Exempt: No
- Remote work from home: This job is intended to be conducted in the State of New Mexico
- Work hours: Varied Days and Hours
- Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical gym memberships and an employee wellness program.
Ideal Candidate:
6 years of additional experience can be substituted in lieu of a Bachelors degree. Masters degree and 4 years experience preferred.
Qualifications
- Bachelors Degree and 6 years of related experience.
- 6 years of additional experience can be substituted in lieu of a Bachelors degree.
- Masters degree and 4 years experience preferred
- Must have a valid driver license clean driving record and able to travel locally.
- Experience in utilization management quality assurance home care community health long term care or occupational health required.
- Proficiency in Microsoft Word Excel and Outlook required.
- Experience in analyzing trends based on decision support systems.
- Business management skills to include but not limited to cost/benefit analysis negotiation and cost containment.
- Knowledge of referral coordination to community & private/public resources.
Responsibilities
- 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.
- Conducts in depth health risk assessment and/or comprehensive needs assessment which include but not limited to psycho-social physical medical behavioral environmental and financial parameters.
- Provides care coordination to members with chronic or complex conditions which require intensive interventions and oversight include multiple clinical social and community resources. 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 members 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.
- 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).
- Conducts face to face home visits as required
(ICPT) meetings. - May assist with orientation and continued mentoring of team members as appropriate.
- Performs other functions as required.
Benefits
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision short-term and long-term 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 well-being. Earn gift cards and more by taking an active role in our personal well-being 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 not-for-profit healthcare system of nine hospitals a statewide health plan and a growing multi-specialty 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 drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to
Compensation Disclaimer
Required Experience:
IC
Employment Type
Unclear
