Community Health Case Manager — Peer Support Advocate

Leoforce; Albuquerque (NM); On-site; USD 51,577,000 - 60,174,000; Full time

Job summary

Leoforce in Albuquerque, NM seeks a Mid Level Case Manager – Community Health (FQHC) to coordinate care, connect patients to resources, and support improved health outcomes across medical, behavioral health, and social services teams.

You will advocate for patients navigating the health system and address housing, transportation, food access, and behavioral health needs, maintaining accurate EHR documentation and collaborating on individualized care plans.

Qualifications

• Certified Peer Support Worker (CPSW) preferred or Bachelor's degree in Social Work, Public Health, Psychology, or related field.
• At least 2 years of case management or care coordination experience in health, community, or social services settings.
• Experience with underserved populations; knowledge of New Mexico resources is a plus.

Responsibilities

• Provide case management services including care coordination, referrals, and resource navigation.
• Conduct patient assessments to identify medical, behavioral, and social support needs.
• Connect patients with housing, transportation, food programs, and behavioral health support.
• Collaborate with clinical and behavioral health teams to develop individualized care plans.
• Maintain documentation in the electronic health record (EHR) system and track patient progress.
• Support patient engagement, education, and follow-up to improve health outcomes.

Skills

Case management

Care coordination

Patient advocacy

Communication skills

Education

Bachelor's degree or CPSW

Tools

EHR systems

Job description

Leoforce in Albuquerque, NM seeks a Mid Level Case Manager – Community Health (FQHC) to coordinate care, connect patients to resources, and support improved health outcomes across medical, behavioral health, and social services teams.

You will advocate for patients navigating the health system and address housing, transportation, food access, and behavioral health needs, maintaining accurate EHR documentation and collaborating on individualized care plans.