Care Coordinator IV - Albuquerque

PHP Administrative; Santa Fe (NM); Remote; USD 47,000 - 79,000; Full time

Benefits offered by this job

Tuition reimbursement

Scholarships

Wearable safety badge

Loan forgiveness

Wellness and training programs

Job summary

Presbyterian Healthcare Services is seeking a Care Coordinator IV to lead a team-based approach for comprehensive patient care across medical, behavioral, social, and community services. Responsibilities include coordinating with providers, assessing needs, and implementing care plans to improve outcomes while maintaining cost efficiency.

This role requires advanced education and substantial experience in care coordination, with proficiency in Word, Excel and Outlook.

Qualifications

• Masters degree with 4+ years of experience or 8+ years with a Bachelor’s.
• Experience in care coordination and interdisciplinary teams.
• Strong skills in data analysis and trend evaluation.
• Familiarity with cost containment and resource management.

Responsibilities

• Facilitates a team approach to ensure quality care and cost-effective delivery across the continuum.
• Coordinates care with interdisciplinary team members and providers to address patient needs.
• Performs in-depth health risk assessments and creates comprehensive care plans.
• Implements, coordinates and monitors strategies to improve health outcomes and quality of life.

Skills

Health care coordination

Data analysis

Decision support trends

Negotiation

Cost containment

Education

Master's degree in a relevant field

Bachelor's degree

Associate's degree

12 years of experience in lieu of education

Tools

Microsoft Word

Excel

Outlook

Job description

Location Address:Remote Office Santa Fe, NM 87501Compensation Pay Range:Minimum Offer $33.87 Maximum Offer $57.68Summary:Build your Career. Make a Difference. Presbyterian is hiring a skilled Care Coordinator IV.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 systemType of Opportunity: Full time FTE: 1.00 Job Exempt: No Work Shift: Days (United States of America)Responsibilities:Job DescriptionPresbyterian is seeking a Care Coordinator IV. The Care Coordinator 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.Some key responsibilities include:Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across thecontinuum. Collaborates with the Interdisciplinary Care Plan Team which may include member, caregivers, members legal representative, physician, care providers, andancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term careservices.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.Provides care coordination to members with chronic or complex conditions which require intensive interventions and oversight include multiple, clinical, social and communityresources. Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.Qualifications:Masters degree & 4 years of exp, Bachelors degree and 8 yrs of exp, Associates degree and 9 years of exp, 12 years of exp may be utilized in lieu of other education and experience reqs.Proficiency in Microsoft Word, Excel and Outlook 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 & private/public resources.We'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