Care Coordinator III

Presbyterian Healthcare Services; Albuquerque (NM); On-site; USD 41,328 - 63,121; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision coverage

Life insurance

Disability coverage

Employee Wellness Rewards Program

Job summary

A New Mexico healthcare provider is seeking a Care Coordinator III to facilitate quality care delivery through collaboration and coordination efforts among staff. This full-time role requires candidates to possess relevant experience or educational degrees, with a special preference for CCM certification. The successful applicant will provide care coordination, support health plan members, and implement strategies for health outcomes. A comprehensive benefits package, including medical and wellness incentives, is offered.

Qualifications

• Experience in utilization management, quality assurance, home care, community health, or long-term care.
• CCM certification preferred or required within 3 years of hire.
• Proficiency in Microsoft Office applications.

Responsibilities

• Facilitates a team approach for effective quality care delivery.
• Coordinates care for members with chronic conditions.
• Collaborates with interdisciplinary team members to address health care needs.

Skills

Utilization management

Quality assurance

Home care

Community health

Long-term care

Occupational health

Microsoft Word

Microsoft Excel

Microsoft Outlook

Education

Master’s degree with 2 years experience

Bachelor’s degree with 4 years experience

Associate’s degree with 5 years experience

10 years of experience in lieu of other education requirements

Job description

Join to apply for the Care Coordinator III role at Presbyterian Healthcare Services

Pay range is based on skills and experience — talk with your recruiter to learn more.

Base pay range

$30.00/hr – $45.82/hr

Overview

Now hiring a Care Coordinator III – Santa Fe, 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 team members—caregivers, legal representatives, physicians, care providers, and ancillary support services—to address care issues, member needs, and disease processes (medical, behavioral, social, community‑based, or long‑term care services). Coordinates care of individual clients using assessment, care planning, implementation, coordination, monitoring, and evaluation for cost‑effective and quality outcomes.

• This is a full‑time position – exempt: yes.
• Job is based at Rev Hugh Cooper Admin Center.
• Work hours: Monday‑Friday, weekday schedule.

Ideal Candidate

• Experience in utilization management, quality assurance, home care, community health, long‑term care, or occupational health; CCM certification preferred or required within 3 years of hire.
• Proficiency in Microsoft Word, Excel, and Outlook; experience analyzing trends from decision support systems.

Qualifications

• Master’s degree with 2 years experience, bachelor’s degree with 4 years, associate’s degree with 5 years, or 10 years of experience in lieu of other education requirements.

Responsibilities

• Supports health plan members.
• Facilitates a team approach to ensure appropriate interventions and cost‑effective delivery of quality care across the continuum.
• Collaborates with interdisciplinary team members to address member needs and disease processes across medical, behavioral, social, community‑based, and long‑term care services.
• Provides care coordination for members with chronic conditions, conducts comprehensive risk assessments, develops plans for authorization of services, and serves as point of contact during transitions.
• Assesses and reviews plans of care regularly to identify gaps, trends, and improvements; gathers clinical path variance data.
• Implements, coordinates, and monitors strategies to improve health and quality of life outcomes; advocates for member needs and evaluates intervention effectiveness.
• Provides assistance to members regarding care, providers, or delivery system.
• Conducts face‑to‑face home visits as required.
• Educates providers, support staff, members, and families on care coordination and health strategies.
• Maintains professional relationships with external stakeholders and promotes appropriate use of clinical and financial resources.
• Generates reports aligned with care coordination goals.
• Complies with Case Management Society of America Standards and CCMC Code of Professional Conduct.
• Participates in Interdisciplinary Care Team (ICPT) meetings.

Benefits

Presbyterian offers a comprehensive benefits package including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits. The Employee Wellness Rewards Program encourages engagement in wellness activities with incentives such as gift cards.

About Presbyterian Healthcare Services

Presbyterian is a mission‑driven, not‑for‑profit healthcare system committed to improving community health in New Mexico. Founded in 1908, it is the largest private employer in the state, with 14,000 employees and 580,000 health plan members. 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 USD $45.82/hr.

The compensation range for this role considers experience, training, internal equity, and other business and organizational needs.