Care Coordinator III

phsorg; United States; On-site; USD 43,000 - 74,000; Full time

Benefits offered by this job

Educational and career development

Tuition reimbursement

Certification reimbursement

Scholarship opportunities

Staff safety wearable badge

Night/weekend shift differentials

Malpractice liability insurance

Loan forgiveness program

EPIC electronic charting

Job summary

Presbyterian is seeking a Care Coordinator III to support health plan members and coordinate care with an interdisciplinary team. The role emphasizes cost-effective, quality care across the continuum and active collaboration with physicians, caregivers, and support services.

The role requires advanced education (Masters/Bachelor/Associate) with substantial experience in care coordination and a focus on patient-centered outcomes.

Qualifications

• 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.

Responsibilities

• Supports Health plan members.
• Facilitates a team approach to ensure appropriate interventions and cost-effective, quality care across the continuum.
• Develops and communicates plans for authorization of services and serves as point of contact to ensure services are rendered appropriately.

Skills

Care coordination

Interdisciplinary teamwork

Patient advocacy

Health plan knowledge

Communication with providers

Education

Masters Degree

Bachelor's degree

Associates degree

Tools

EPIC electronic charting system

Job description

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range: Minimum Offer $31.50 Maximum Offer $53.66

Summary: 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

How you grow, learn and thrive matters here.

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system

Type of Opportunity: Full time

FTE: 1.00

Job Exempt: No

Work Shift: Weekday Schedule Monday-Friday (United States of America)

CARE COORDINATOR III-11466

• Supports Health plan members
• 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.
• Provides care coordination to members with chronic condition with less complex needs including less community resources. 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. 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).
• 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.
• 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 member s 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.
• Provides assistance to members with questions and concerns regarding care, providers or delivery system.
• Conducts face to face home visits, as required.
• Educates providers, support 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.
• Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.
• 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.
• Complies with Case Management Society of America Standards for Case Management Practice and with CCMC code of Professional Conduct for Case Managers.
• Participates in Interdisciplinary Care Team (ICPT) meetings.
• Assists with orientation and mentoring of new team members as appropriate.
• Performs other functions as required.

Qualifications: 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.

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