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Presbyterian Healthcare Services provided pay range
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.
Base pay range
$32.26/hr - $49.26/hr
Overview
Presbyterian is seeking a Care Coordinator - Albuquerque, NM to facilitate a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost‑effective delivery of quality care and services across the continuum. The role collaborates with interdisciplinary care plan team members, caregivers, legal representatives, physicians, 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. It 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.
This is a Full Time position - Exempt: Yes
Job is based at Albuquerque, NM
Work hours: Days
Qualifications
Care Coordinator IV
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. 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 cost/benefit analysis, negotiation, and cost containment. Knowledge of referral coordination to community & private/public resources.
Care Coordinator III
Masters Degree & 2 years exp, Bachelors degree & 4 years exp, Associates degree & 5 years exp, 10 years of exp may be utilized in lieu of other education & exp reqs.
Care Coordinator II
Masters Degree & 1 years exp, Bachelors Degree & 2 years exp, Associates Degree & 3 years exp, 6 years of exp may be utilized in lieu of other education reqs.
Must have a valid driver license, clean driving record, and able to travel locally.
Business management skills to include 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, cost effective delivery of quality care and services across the continuum.
Collaborates with the Interdisciplinary Care Plan Team to address care issues, specific member needs and disease processes.
Conducts in depth health risk assessment and/or comprehensive needs assessment.
Provides care coordination to members with chronic or complex conditions requiring intensive interventions and oversight.
Develops and communicates plan for authorization of services, and serves as point of contact to ensure services are rendered appropriately.
Conducts face to face home visits, as required.
Assesses and reviews plan of care regularly to identify gaps in care and improve health and quality of life outcomes.
Promotes the 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 - like challenges, webinars, and screenings - with opportunities to earn gift cards and other incentives. As a mission‑driven organization, Presbyterian is 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.
AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke free campuses.
Maximum Offer for this position is up to
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.