Care Coordinator, Eddy County, Lea County, Chaves County

Jobtailor; Deutschland; Hybrid; EUR 45.000 - 68.000; Vollzeit

Jobbeschreibung

• Coordinate care for individual clients and identified populations through assessment, care planning, implementation, coordination, monitoring, and evaluation
• Perform duties virtually or face-to-face based on contractual requirements
• Promote appropriate use of clinical and financial resources to improve quality of care and member satisfaction
• Assist with orientation and mentoring of new team members as appropriate
• Provide care coordination to members with behavioral health conditions requiring intensive interventions and oversight
• Conduct in-depth health risk and comprehensive needs assessments covering psychosocial, physical, medical, behavioral, environmental, and financial parameters
• Communicate and develop care plans and serve as point of contact to ensure services are rendered appropriately
• Implement, coordinate, and monitor strategies to improve members' and families' health and quality-of-life outcomes
• Develop, document, and implement plans addressing social, physical, mental, emotional, spiritual, and supportive needs
• Advocate for members by identifying and addressing gaps in care
• Monitor plans of care and measure intervention effectiveness
• Review plans regularly to identify care gaps and trends
• Collect clinical path variance data to identify improvement opportunities
• Work with members and interdisciplinary care plan teams to adjust plans of care
• Educate providers, staff, members, and families regarding care coordination and health strategies
• Facilitate team-based, cost-effective delivery of quality care and services
• Collaborate with members, caregivers, legal representatives, physicians, care providers, and ancillary support services
• Assist members with questions and concerns regarding care, providers, and delivery systems
• Maintain professional relationships with inpatient, outpatient, and community stakeholders
• Generate reports according to care coordination goals
• Comply with position-specific security responsibilities, legal, regulatory, contractual, and internal policy requirements

Requirements

• 3-5 years' experience in Social Work, Nursing, 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
• Experience analyzing trends based on decision support systems
• Business management skills, including cost/benefit analysis, negotiation, and cost containment
• Knowledge of referral coordination to community and private/public resources
• Detailed knowledge of cost-effective care coordination and data interpretation
• Ability to make decisions requiring significant analysis and investigation
• Ability to determine courses of action in complex situations not addressed by existing policies or protocols
• Ability to maintain complete and accurate enrollee records
• Effective verbal and written communication skills
• Ability to work with clinicians, hospital officials, and service agency contacts
• GED or high school education required
• Valid in-state driver's license required
• CCM, LCSW, or RN certification/licensure preferred

Core Competencies

Demonstrates expertise in care coordination, including assessment, planning, and implementation of health strategies for individuals with complex needs. Proficient in utilizing data analysis for quality assurance and cost-effective care delivery while maintaining compliance with regulatory standards.

Highest-signal resume keywords

• Care Coordination
• Utilization Management
• Quality Assurance
• Behavioral Health Experience
• Effective Communication

Hard Skills

• Health Risk Assessment
• Data Interpretation
• Cost/Benefit Analysis
• Decision Support Systems
• Care Plan Development
• Monitoring Intervention Effectiveness
• Referral Coordination
• Clinical Path Variance Analysis
• Care Gap Identification
• Documentation of Care Plans

Soft Skills

• Mentoring
• Advocacy
• Collaboration
• Problem Solving
• Interpersonal Skills

Certifications & Qualifications

• CCM
• LCSW
• RN

Industry Keywords

• Healthcare
• Community Health
• Long-Term Care
• Occupational Health
• Inpatient Care
• Outpatient Care
• Cost-Effective Care
• Regulatory Compliance
• Contractual Requirements
• Interdisciplinary Care Teams