Job Description

Contract Care Coordinator (Case Management)
Pay Rate: $40-$45 per hour + expenses (Pay rate dependent upon licensure and experience level)
Schedule: Monday-Friday, 8:00 AM to 5:00 PM MST

A National Managed Care Organization is seeking a qualified Care Coordinator for a contract position in New Mexico. This role involves visiting members in Bernalillo, Valencia, Sandoval in Counties to provide high-quality care coordination services.

Job Responsibilities

• Conduct clinical assessments of members within regulated timelines, identifying those eligible for case management based on clinical judgment and assessment findings.
• Develop and implement comprehensive case management plans in collaboration with members, caregivers, physicians, and other healthcare professionals.
• Perform regular outreach through telephonic, face-to-face, or home visits as needed.
• Monitor care plans for effectiveness, document interventions and goal achievements, and adjust plans as necessary.
• Maintain an active caseload and conduct ongoing member follow-ups to ensure continuity of care.
• Facilitate interdisciplinary care team meetings and collaborate informally with team members.
• Promote integration of behavioral health, long-term services, and supports for improved member outcomes.
• Utilize motivational interviewing techniques and clinical guidelines to support and encourage member well-being.
• Identify barriers to care, assist members in addressing them, and coordinate resources as needed.

Requirements

Education

• Bachelor's or Master's Degree (preferably in social science, psychology, gerontology, public health, social work, or a related field).

Experience

• 1-2 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
• Minimum of one year of care coordination experience is required.

Licensure and Certification

• Valid driver’s license with a good driving record. Reliable transportation is required for travel within Lea, Eddy, and Chaves Counties.
• Licensure is not mandatory, but candidates with the following certifications/licensures are preferred:
  • Licensed Clinical Social Worker (LCSW)
  • Advanced Practice Social Worker (APSW)
  • Certified Case Manager (CCM)
  • Certified in Health Education and Promotion (CHEP)
  • Licensed Professional Counselor (LPC/LPCC)
  • Respiratory Therapist
  • Licensed Marriage and Family Therapist (LMFT)

Skills and Abilities

• Strong knowledge of case management practices, care coordination, and psychosocial wellness.
• Ability to perform clinical assessments and create effective care plans.
• Proficient in motivational interviewing techniques.
• Excellent organizational, communication, and time-management skills.
• Competent in promoting member-focused services that enhance continuity of care.

Preferred Qualifications

• 1-2 years of experience in behavioral health or managed care settings.
• Additional experience with asthma and depression disease management programs is a plus.

State-Specific Requirements

Candidates must reside in New Mexico and hold a Bachelor's Degree or have at least one year of care coordination experience.

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