Care Coordinator IV-Population Health

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in New Mexico is seeking a Care Coordinator IV to facilitate a team approach in delivering quality care. The role involves coordinating care for clients, conducting assessments, and collaborating with interdisciplinary teams to improve health outcomes. Ideal candidates will possess a relevant degree and experience in community health or utilization management. Join a diverse team committed to making a meaningful impact in healthcare.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Plan

Wellness Program

Qualifications

• Master's degree with 4 years of experience or equivalent.
• Experience in community health or long-term care required.

Responsibilities

• Coordinates care for individual clients using assessment and care planning.
• Conducts in-depth health risk assessments and comprehensive needs assessments.

Skills

Utilization Management

Community Health

Cost Containment

Education

Master's Degree

Bachelor's Degree

Associate's Degree

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Overview

Now hiring a Care Coordinator IV-Population Health

Must live in Bernalillo, Santa Fe, Valencia, Sandoval or Torrance county, NM

Role Description

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 the member, caregivers, 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, implementation, coordination, monitoring, and evaluation for cost-effective and quality outcomes.

Our Values

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: Yes
• Job is based remotely in NM only
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement, and more for full-time employees.

Ideal Candidate

• RN license
• Must have a valid driver’s license
• Experience in utilization management, home care, community health, long-term care, or occupational health

Qualifications

• Master's degree with 4 years of experience, Bachelor's degree with 8 years, Associate's degree with 9 years, or 12 years of experience may substitute for formal education requirements.
• Proficiency in Microsoft Word, Excel, and Outlook required.
• Experience analyzing trends based on decision support systems.
• Business management skills including cost/benefit analysis, negotiation, and cost containment.
• Knowledge of referral coordination to community and private/public resources.

Responsibilities

• 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 team including members, caregivers, legal representatives, physicians, and care providers to address care issues, needs, and disease processes.
• Conducts in-depth health risk assessments and comprehensive needs assessments covering psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Provides care coordination for members with chronic or complex conditions requiring intensive interventions and oversight, utilizing multiple clinical, social, and community resources. Implements, coordinates, and monitors strategies to improve health and quality of life outcomes.
• Develops and communicates plans for service authorization and acts as the point of contact to ensure appropriate service delivery, especially during transitions to home care or community-based services.
• Conducts face-to-face home visits as required.
• Regularly reviews and assesses care plans to identify gaps, trends, and areas for improvement, adjusting plans as necessary in collaboration with members and the care team.
• Promotes the appropriate use of clinical and financial resources to enhance care quality and member satisfaction. Generates reports aligned with care coordination goals.

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive package including medical, dental, vision, disability, life insurance, and other voluntary benefits.

Wellness Presbyterian's Employee Wellness rewards program offers engaging opportunities to enhance health and well-being, including challenges, webinars, screenings, and more.

About Presbyterian Healthcare Services

Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system in New Mexico, comprising nine hospitals, a statewide health plan, and a growing medical group. We are the largest private employer in the state with nearly 14,000 employees, including over 1,600 providers and 4,700 nurses.

Our health plan serves over 580,000 members statewide with Medicare Advantage, Medicaid, and Commercial plans.

We are an AA/EOE/VET/DISABLED employer, drug-free, tobacco-free, with smoke-free campuses.

Maximum offer for this position is up to USD $47.83/hr. Compensation considers experience, training, internal equity, and organizational needs.