Care Coordinator IV

Presbyterian Healthcare is seeking a Care Coordinator IV to support the area of Belen/Socorro 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

Were determined to take care of those working in healthcare.

Presbyterian is dedicated to improving peoples lives - the lives of our patients and the lives of our coworkers. Were a locally owned and operated which encourages supportive leadership that empowers employees. And we provide the opportunity to grow from entry-level to the most senior positions.

Why Join Us

• Full Time - Exempt: Yes
• Job is based at Belen/Socorro NM
• Remote work from home: this job is intended to be conducting in the state of New Mexico.
• Work hours: Weekday Schedule Monday-Friday
• 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:

• Must have a valid driver license clean driving record and able to travel locally.
• Experience in utilization management home care community health long term care or occupational health required.

• Masters degree & 4 years of exp Bachelors degree and 8 yrs of exp Associates degree and 9 years of exp 12 years of exp may be utilized in lieu of other education and experience reqs.
• 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 analysisnegotiation and cost containment.
• Knowledge of referral coordination to community & private/public resources.

• 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.
• 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 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
• 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.
• 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.

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 ensure the patients members and communities we serve can achieve their best health. We are a 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.

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.