Care Coordinator

• Coordinate care for individual clients through assessment, care planning, implementation, coordination, monitoring, and evaluation
• Perform duties virtually or face-to-face based on contractual requirements
• Promote appropriate use of clinical and financial resources to improve care quality and member satisfaction
• Provide care coordination to members with behavioral health conditions requiring intensive interventions and oversight
• Conduct in-depth health risk and comprehensive needs assessments covering psychosocial, physical, medical, behavioral, environmental, and financial factors
• Develop, communicate, document, and implement individualized care plans
• Serve as a point of contact to ensure services are appropriately delivered, including transitions to home care, backup plans, and community-based services
• Monitor strategies and plans of care, measure intervention effectiveness, and identify gaps and trends
• Collect clinical path variance data to identify improvement opportunities
• Collaborate with interdisciplinary care plan teams, members, caregivers, legal representatives, physicians, care providers, and ancillary services
• Educate providers, staff, members, and families on care coordination and health strategies
• Facilitate cost-effective delivery of quality care across the continuum
• Advocate for members by identifying and addressing gaps in care
• Maintain professional relationships with inpatient, outpatient, and community resources
• Assist with orientation and mentoring of new team members
• Assist members with questions and concerns regarding care, providers, or the delivery system
• Generate reports in accordance with care coordination goals

Care Coordinator improving member outcomes for Magellan Health in New Mexico

Care Coordinator coordinating behavioral and medical services for Magellan Health members in Grants or Gallup, New Mexico. Assessing needs, managing care plans, and improving quality and cost outcomes.

• 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, members 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.
• Conducts in depth health risk assessment and/or comprehensive needs assessment which include, but not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Provides care coordination to members with chronic or complex conditions which require intensive interventions and oversight include multiple, clinical, social and community resources.
• Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.

Care Coordinator IV facilitating quality care delivery for Presbyterian Healthcare Services

Care Coordinator IV

Care Coordinator IV at Presbyterian Healthcare Services facilitating cost-effective quality care and collaborating with fully interdisciplinary teams to address member needs. Conducting health risk assessments and coordinating care strategies.

• Manage an assigned panel of 400-450 patients and conduct required monthly outreach to ensure continuity of care.
• Conduct 50-60 daily outbound calls to patients, providing care plan support and health coaching aligned to their specific needs.
• Maintain call quality standards through consistent engagement and professional communication in every patient interaction.
• Collaborate with clinical teams, providers, and caregivers to identify and address clinical and social needs.
• Support care coordination goals by staying on schedule with monthly outreach targets.
• Close gaps in patient care through Chronic Care Management, Behavioral Health Integration, and Remote Physiological Monitoring services.
• Advocate for patient needs by actively listening to concerns, investigating issues, and communicating solutions to the patient’s care circle.
• Partner closely with providers, clinical teams, and caregivers to support positive patient outcomes.
• Document all patient interactions in real time using the care coordination platform.
• Maintain HIPAA compliance in all patient communications and documentation.
• Maintain accurate, real-time documentation to support care coordination goals.

Licensed Vocational Nurse Care Coordinator managing patient outreach and care.

Licensed Vocational Nurse, Care Coordinator

Licensed Vocational Nurse Care Coordinator managing a panel of patients for health coaching and outreach. Collaborating across teams to ensure continuity of care in a remote work environment.

• 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.
• Duties are performed virtually or face-to-face based on contractual requirements.
• Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction.
• Assists with orientation and mentoring of new team members as appropriate.
• Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.
• Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (e.g., during transition to home care, backup plans, community-based services).
• 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 member`s 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.
• 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.
• Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.
• Facilitates a team approach to the coordination and cost-effective delivery to quality care and services.
• 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.
• Utilizes licensed care coordination staff as appropriate for complex cases.
• Provides assistance to members with questions and concerns regarding care, providers or delivery system.
• Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.
• Generates reports in accordance with care coordination goal.

Care Coordinator managing clients' health outcomes in a remote setting.

Care Coordinator – CISC

Care Coordinator responsible for coordinating care for clients with complex needs. Managing health assessments, care plans, and interdisciplinary communication in a remote environment.

• Provide superior patient support and customer service via proactive intervention, communication, and patient advocacy
• Build relationships and foster opportunities to serve more patients
• Coordinate seamless care delivery for patients with amputations / limb difference
• Utilize communication and management skills for patient consultation and guidance
• Ensure new patients are contacted and entered into patient management systems
• Support patients through pre/post-surgery by providing information, resources, advice, and counsel
• Coordinate AMPOWER visits
• Complete hospital or rehab facility visits as needed
• Act as contact for patients, referring physicians, outside agencies, and the general public
• Serve as a liaison between patients and clinic areas to coordinate pre-operative/post-operative planning.

Community Care Coordinator providing patient support for Hanger, Inc.

Community Care Coordinator

Community Care Coordinator providing patient support and advocacy for Hanger, Inc. Managing patient care coordination and leveraging clinical knowledge for exceptional experiences.

• Conduct comprehensive intake assessments to identify medical, behavioral, social, and environmental needs.
• Develop individualized care plans that support healthy pregnancies and positive birth outcomes.
• Coordinate care with physicians, hospitals, specialists, behavioral health providers, and community agencies.
• Conduct home visits, virtual visits, and telephone follow-ups to assess member needs and monitor progress.
• Educate members on prenatal care, postpartum recovery, infant care, breastfeeding, safe sleep, nutrition, and maternal wellness.
• Connect families with community resources, including transportation, housing assistance, food programs, childcare resources, behavioral health services, and financial assistance programs.
• Advocate for members to reduce barriers to healthcare and improve access to needed services.
• Monitor member progress and adjust care plans as needed throughout pregnancy and the postpartum period.
• Maintain accurate documentation within electronic health record systems and care management platforms.
• Collaborate with interdisciplinary teams to promote coordinated, culturally responsive care.
• Participate in quality improvement initiatives and community outreach activities.
• Maintain compliance with all state, federal, Medicaid, HIPAA, and organizational requirements.

Delegated Care Coordinator improving maternal health in New Mexico

Care Coordinator – Maternal Health Program

Delegated Care Coordinator providing personalized care coordination to mothers and infants in New Mexico. Collaborating with healthcare providers and community partners to improve maternal and infant health outcomes.

Delegated Care Coordinator providing care coordination for maternal health program

Delegated Care Coordinator providing comprehensive care coordination for maternal health program in New Mexico. Focused on supporting pregnant individuals and new mothers with community resources and education.

• 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
• Duties are performed virtually or face-to-face based on contractual requirements
• Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction
• Assists with orientation and mentoring of new team members as appropriate
• Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources
• Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters
• Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately
• 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 member`s 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
• 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
• Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care
• Facilitates a team approach to the coordination and cost-effective delivery to quality care and services
• 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
• Utilizes licensed care coordination staff as appropriate for complex cases
• Provides assistance to members with questions and concerns regarding care, providers or delivery system
• Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources
• Generates reports in accordance with care coordination goal.

Care Coordinator assisting clients with health assessments and coordination in New Mexico

Care Coordinator providing care to clients with behavioral health conditions through assessment and planning in New Mexico. Collaborating with interdisciplinary teams to improve member outcomes.

Care Coordinator jobs in New Mexico

See all jobs on JobTailor

Care Coordinator

Care Coordinator IV

Licensed Vocational Nurse, Care Coordinator

Care Coordinator – CISC

Community Care Coordinator

Care Coordinator – Maternal Health Program

Care Coordinator – Maternal Health Program

Care Coordinator