This range is provided by Presbyterian Healthcare Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Care Coordinator - Las Cruces, NM
Presbyterian is seeking a Care Coordinator to facilitate a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions and cost-effective delivery of quality care and services across the continuum. The role collaborates with caregivers, legal representatives, physicians, and ancillary support services to address care issues, specific member needs and disease processes across medical, behavioral, social, community-based and long-term care services.
Qualifications
Care Coordinator IV
Masters degree and 4 years of experience, or Bachelors degree and 8 years of experience, or Associates degree and 9 years of experience may be utilized in lieu of other education and experience requirements. Must have a valid driver license, clean driving record and able to travel locally.
Experience in utilization management, quality assurance, home care, community health, long term care or occupational health required. 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.
Care Coordinator III
Masters Degree and 2 years experience, or Bachelors degree and 4 years experience, or Associates degree and 5 years experience, or 10 years of experience may be utilized in lieu of other education & experience requirements.
Care Coordinator II
Masters Degree and 1 year experience, or Bachelors Degree and 2 years experience, or Associates Degree and 3 years experience, or 6 years of experience may be utilized in lieu of other education requirements.
Must have a valid driver license, clean driving record, and able to travel locally.
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.
Responsibilities
Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions and cost-effective delivery of quality care and services across the continuum.
Conducts in-depth health risk assessment and/or comprehensive needs assessment including psycho-social, physical, medical, behavioral, environmental, and financial parameters.
Provides care coordination to members with chronic or complex conditions requiring intensive interventions and oversight, including multiple clinical, social, and community resources.
Develops and communicates plan for authorization of services and serves as point contact to ensure services are rendered appropriately during transition to home care, backup plans, and community-based services.
Conducts face-to-face home visits as required.
Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes; collects clinical path variance data indicating potential areas for improvement of case and services provided; works with members and interdisciplinary care plan team to adjust plan of care as necessary.
Promotes appropriate use of clinical and financial resources to improve quality of care and member satisfaction; generates reports in accordance with care coordination goals.
Benefits
Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits. The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities with opportunities to earn gift cards and other incentives.
About Presbyterian Healthcare Services
Presbyterian is a mission-driven organization deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.
Maximum Offer for this position
USD $49.26/Hr.
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.
EEO Statement
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.