Care Coordinator IV - Deming

0100 PHP Administrative; United States; On-site; USD 47,000 - 79,000; Full time

Job summary

Presbyterian Healthcare Services is seeking a skilled Care Coordinator IV in Albuquerque, NM. This full-time role supports the Interdisciplinary Care Plan team to ensure high-quality, cost-efficient care across the continuum.

You will coordinate care for individuals with complex needs, engaging with members, families, and providers to optimize outcomes. The position emphasizes team collaboration, risk assessment, and care planning across medical, behavioral, social, and community-based services,

Qualifications

• Master's degree and 4+ years of experience required.
• Proficiency in Microsoft Word, Excel and Outlook.
• Experience in analyzing trends based on decision support systems.
• Business management skills to include cost/benefit analysis, negotiation, and cost containment.
• Knowledge of referral coordination to community & private/public resources.

Responsibilities

• 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 and other stakeholders to address care issues, needs and disease processes across 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.
• Provides in-depth health risk assessments and comprehensive needs assessment including psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.
• Facilitates a team approach to ensure interventions are appropriate and delivery is cost effective across the continuum.
• Collaborates with the Interdisciplinary Care Plan Team including member, caregivers, physician, care providers, and support services to address care issues.

Skills

Trend analysis

Cost/benefit analysis

Negotiation

Cost containment

Project coordination

Education

Master's degree

4 years of experience

Tools

Microsoft Word

Excel

Outlook

Job description

Location & Compensation

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

Compensation Pay Range: Minimum Offer $33.87 Maximum Offer $57.68

Summary

Build your Career. Make a Difference. Presbyterian is hiring a skilled Care Coordinator IV. How you grow, learn and thrive matters here.

Benefits

• 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)

Responsibilities

• Presbyterian 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.
• 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, members 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.
• 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 community resources.
• 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.

Company Information

About Presbyterian Healthcare Services Presbyterian 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 Disclaimer The 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 Here, we’re committed to a different way to make a difference. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three NewMexico. We are part of NewMexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.