Care Coordinator II, Clovis NM
US-NM-Clovis
Careers (External)
Req #: 45921
Type: PRN
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Overview: 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. Type of Opportunity: Per Required Need, exempt, Varied Days and Hours FTE: 0.001000 How you grow, learn and thrive matters here. * Educational and career development options, including tuition and certification reimbursement, scholarship opportunities * Strongline Staff Safety (a wearable badge that allows employees to quickly and discreetly call for help when safety is a concern) * Shift differentials for nights and weekends * Differentials for higher education, certifications and various lead roles * Malpractice liability insurance Responsibilities: Responsibilities and duties include: * 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 that indicates potential areas for improvement of case and services provided * works with members and the interdisciplinary care plan team to adjust plan of care, when necessary. * Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes. * Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs. * Acts as an advocate for members care needs by identifying and addressing gaps in care. Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the members care plan. * Conducts face to face home visits, as required. * Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Generates reports in accordance with care coordination goals. * Performs other functions as required. Qualifications: * Associates Degree and 2 years of related experience. * 3 years of additional experience can be substituted in lieu of an Associates Degree. * Bachelors degree preferred. * 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. * CCM certification preferred or must obtain within 3 years of hire. * 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.
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