Care Coordinator III - LCMC

Presbyterian System Services; Ruidoso (NM); On-site; USD 4,339,000 - 7,392,000; Full time

Benefits offered by this job

Tuition reimbursement

Scholarship opportunities

Wellness program

Loan forgiveness

Malpractice insurance

On-site gyms

Job summary

Presbyterian Healthcare Services is seeking a qualified Case Manager to support patients in hospital and clinic settings. You will coordinate interdisciplinary care plans, assess needs, and ensure timely, cost-effective delivery of quality services across the continuum.

The role emphasizes care coordination for chronic conditions, transitioning to home care, and collaboration with a care team to optimize outcomes. NM-based role with competitive benefits.

Qualifications

• Associates Degree in Nursing; 3 years of related experience preferred.
• CCM certification preferred; bachelor's degree acceptable.
• CCM certification required or pursued with relevant experience.

Responsibilities

• Supports patients in hospital, inpatient or clinic settings.
• Facilitates interdisciplinary care planning to ensure quality care.
• Coordinate care for chronic conditions and transitions to home care.
• Assess plan of care, identify gaps, and adjust interventions as needed.
• Educate providers and families about care coordination and resources.

Skills

Team collaboration

Care coordination

Health risk assessment

Patient advocacy

Education

Associate Degree in Nursing

Bachelor's Degree preferred

CCM-Certified Case Manager

Tools

EPIC electronic charting

Job description

Location Address:211 Sudderth Dr Ruidoso, NM 88345-6002Compensation Pay Range:Minimum Offer $31.50 Maximum Offer $53.66Summary:Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effectivedelivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which mayinclude member, caregivers, members legal representative, physician, care providers, and ancillary support services to addresscare issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long termcare 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 outcomesHow 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 systemType of Opportunity: Full time FTE: 0.90 Job Exempt: No Work Shift: Weekday Schedule Monday-Friday (United States of America)Responsibilities:Supports patients in a hospital and inpatient or clinic settingFacilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effectivedelivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which mayinclude member, caregivers, member s legal representative, physician, care providers, and ancillary support services to addresscare issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long termcare 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 ofservices, and serves as point of contact to ensure services are rendered appropriately, i.e. during transition to home care, back upplans, community based services.Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes; collectsclinical path variance data that indicates potential areas for improvement of case and services provided; works with members andthe 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. Performsongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in themembers 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 onmember-focused approach to care. Facilitates a team approach to the coordination and cost effective delivery to quality care andservices.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.Participates in Interdisciplinary Care Team ICPT meetings.Assists with orientation and mentoring of new team members as appropriate.Performs other functions as requiredQualifications:Associates Degree in Nursing, 3 years of additional experience can be substituted in lieu of an Associates Degree. BachelorsDegree and 1 years of experience preferred.3 years of related experience.CCM-Certified Case ManagerWe're all about well-being, starting with yours.Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.Learn more about our employee benefits.About Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.Compensation DisclaimerThe compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services