Care Coordinator Transition of Care Gallup, NM
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Job Location:
Gallup, NM - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. If you have the required skill set education requirements and experience please click the submit button and follow the next steps. Unless specifically stated otherwise this role is On-Site at the location detailed in the job post.
Coordinate and collaborate with Prison Facilities via in person. Knowledge of community resources that help support incarcerated population.
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. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.
Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple clinical social and community resources.
Conducts in depth health risk assessment and/or comprehensive needs assessment which includes but is not limited to psycho-social physical medical behavioral environmental and financial parameters.
Communicates and develops the care plan 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).
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.
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.
Educates providers supporting staff members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.
Facilitates a team approach to the coordination and cost effective delivery to quality care and services.
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. Utilizes licensed care coordination staff as appropriate for complex cases.
Provides assistance to members with questions and concerns regarding care providers or delivery system.
Maintains professional relationship with external stakeholders such as inpatient outpatient and community resources.
Generates reports in accordance with care coordination goal.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job without revision to the job description.
Additional Qualifications/Responsibilities
Other Job Requirements
Responsibilities
3-5 years experience in Social Work Nursing or Healthcare-related field or relevant experience in lieu of degree. Experience in utilization management quality assurance home or facility care community health long term care or occupational health 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 and private/public resources.
Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done this level include interpretation of data.
Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.
Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.
Decisions include such matters as changing in staffing levels order in which work is done and application of established procedures.
Ability to maintain complete and accurate enrollee records.
Effective verbal and written communication skills. Ability to work well with clinicians hospital officials and service agency contacts.
General Job Information
Title
Care Coordinator - Transition of Care
Grade
22
Work Experience - Required
Clinical Quality
Work Experience - Preferred
Education - Required
GED High School
Education - Preferred
Associate Bachelors
License and Certifications - Required
DL - Driver License Valid In State - OtherOther
License and Certifications - Preferred
CCM - Certified Case Manager - Care MgmtCare Mgmt LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt RN - Registered Nurse State and/or Compact State Licensure - Care MgmtCare Mgmt
Salary Range
Salary Minimum:
$50225
Salary Maximum:
$75335
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individuals skills experience education and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health life voluntary and other benefits and perks that enhance your physical mental emotional and financial wellbeing.
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
VetJobs & Military Spouse Jobs works with our employer partners to source, screen, and move qualified talent to the desktops of the Hiring Managers. Application is a two-step process, so please be patient with the team. When you submit to a position on our site your information will ... View more
