Care Coordinator IV
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Job Location:
Grants, NM - USA
Monthly Salary:
Not Disclosed
Posted on:
19 hours ago
Vacancies:
1 Vacancy
Job Summary
Overview
Presbyterian is seeking a Care Coordinator - Gallup/Grants 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 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
- This is a Full Time position - Exempt: Yes
- Job is based at Gallup/Grants NM
- Work hours: Days
Qualifications
Care Coordinator IV
- 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. 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 analysisnegotiation and cost containment. Knowledge of referral coordination to community & private/public resources.
Care Coordinator III
- 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.
Care Coordinator II
- Masters Degree & 1 years exp Bachelors Degree & 2 years exp Associates Degree & 3 years exp 6 years of exp may be utilized in lieu of other education reqs.
- Must have a valid driver license clean driving record and able to travel locally.
- 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. 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.
Benefits
About Presbyterian Healthcare Services
Presbyterian offers a comprehensive benefits package to eligible employees including medical dental vision disability coverage life insurance and optional voluntary benefits.
The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges webinars and screenings - with opportunities to earn gift to earn gift cards and other incentives.
As a mission-driven organization Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers markets and local partnerships. Founded in 1908 Presbyterian is a locally owned not-for-profit healthcare system with nine hospitals a statewide health plan and a growing multi-specialty medical group. With nearly 14000 employees it is the largest private employer in the state serving over 580000 health plan members through Medicare Advantage Medicaid and Commercial 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
Key Skills
- Senior Care
- Hoyer Lift
- Medical office experience
- Dementia Care
- Home Care
- Nursing
- Alzheimers Care
- Administrative Experience
- Meal Preparation
- Medication Administration
- Memory Care
- Tube Feeding
About Company
Find the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.
