Care Coordinator
Holy Cross Medical Center
MINIMUM MANDATORY qualifications Experience:
- Experience in social services, healthcare, or related field
- Bachelors Degree
- Knowledge of maternal/child health issues.
- Knowledge of and shared lived experience with the community served.
- Competence in widely agreed-upon principles of client-centered practice: empathic, strengths-based, health-literate, trauma-informed, stigma-free care and services.
- Understands fundamentals of evidence-based behavior change, and can support and build on client needs, goals, strengths, and abilities to work towards goals.
- Is fluent in how social determinants of health shape health and health equity, as well as the relationship of health to social justice.
- Knowledge of technology and ability to assist clients with home telehealth technology.
- Knowledge of detailed data collection and reporting in on-line data base.
- Knowledge of outreach, developing partnership, and referral management.
- Ability to follow a perscrpitive Care Coordination model to full fidelity.
- Two or more years experience in social service field or relevant health care setting.
- Bi-lingual Spanish speaking.
- Meets with perinatal clients and children in a variety of settings including: medical clinics, hospitals, client homes and community settings based on client preference.
- Enrolls and engages perinatal clients and children in a Care Coordination model that includes: Health Risk Assessment (HRA), Comprehensive Needs Assessment (CNA) and related Comprehensive Care Plan (CCP) that supports client access to needed services and implements client centered SMART (Specific, Measureable, Achievable, Realistic, and Timely) goals.
- Conducts assessment of social, material, and healthcare needs to collaboratively with the client develop a referral and Comprehensive Care Plan that identifies priorities, lists and tracks client SMART goals, and assist clients in overcoming barriers to health and well being.
- Has knowledge of and explains the benefits of available social service and medical referrals, services, programs and client eligibility criteria.
- Conducts outreach to medical and social service providers to create new partnerships that benefit patients and the Care Coordination program.
- Encourages the client to participate in perinatal home visiting programs, partening education classes, breastfeeding support, setting up Advance Directivies, Disater Prepardness Plans and other social service and medical referrals.
- Follows up on client referrals to: confirm referral was received, that the patients insurance covers the referred practitioner, and assists the patient with hotel, transportation, child care, or other barriers to her attending in-person appointments.
- Builds a trusting partnership with clients, medical providers, social service providers, and other social supports.
- Supports patients in creative ways including: being a support person upon patient or medical team request, attending Labor and Delivery if needed, accompanying the patient at other medical, social service, or behavioral health appointments, and completes, submits and manages Medicaid (or other) transportation and lodging requests for patients.
- Assists patients with home telehealth technology set up and usage including: helping patients enroll in necessary programs/applications, connecting, testing troubleshooting and getting help as needed for home telehealth communication and reporting.
- Maintains a required caseload of 32-40 active clients.
- Implements and documents the Care Coordination model to full fidelity.
- Displays openness and implements feedback as directed by supervisor, Care Coordination auditors, and insurance billing department.
- Follows policies and procedures to collect and report required patient data and in implementing the Care Coordination model to fidelity.
- Is comfortable with detailed reporting and using a computer to input client data during client meetings.
- Is comfortable asking personal questions and working with diverse clients.
- Provides stigma-free, trauma-informed, health literate, and culturally/linguistically/developmentally appropriate care and services to clients and their children.
- Maintains confidentiality of medical records and personal information in compliance with HIPAA, both electronic and paper records.
- Identifies risk factors and safety issues and educates, informs and intervenes as necessary following guidelines and protocol of medical or social service providers, including reporting abuse and neglect.
- Actively participates in clinical team meetings, case conferences, trainings, networks, grand rounds, continuing education, and conferences to maintain or improve quality services and delivery systems.
- Is committed to becoming certified as a NM Department of Health Community Health Worker within one year of hired if asked to do so.
- Work with supervisor, auditors, payors, clinics, and billing departments to ensure that Care Coordination is contracted for and billed to insurance/Medicaid.
- Other Duties as assigned.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Care Coordinator in Taos, NM vacancy
- ...New Mexico Wellness is seeking caring and compassionate people to join our team of devoted healthcare professionals. Shifts: Full-Time Days (6:30pm – 6:30am) Full-time Grave (6:30pm-6:30AM) About New Mexico Wellness New Mexico Wellness is an inpatient detox and...SuggestedFull timeShift workNight shift
New Mexico Wellness, LLC
Taos, NM3 days ago - ...Duty Station : Taos, NM Travel : Up to 10% Duties/Responsibilities ~ Develops, implements, and evaluates care plans ~ Promotes health care outcomes with currently accepted clinical practice guidelines ~ Provides patient education...SuggestedFull timeContract workTemporary workFor contractorsLocal area
Chloeta
Taos, NM1 day ago - ...the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Patient Care Technician program that will prepare you for this high-demand, entry-level role. What does a Patient Care Technician do? A patient...Suggested
Dreambound
Taos, NM3 days ago - ...Home Health Aide (HHA)Delivering Purpose-Driven Care to Atomic HeroesAt Nuclear Care Partners, we provide compassionate, in-home care to individuals impacted by their work in the Department of Energy or Nuclear Energy programs. As a HHA, you'll play a vital role in supporting...SuggestedFull timePart timeShift work
Nuclear Care Partners
Taos, NM3 days ago - ...Are Not Limited To)The role of the Home Health Aide (HHA) in this position will be to work closely with patients and to provide basic care services.QualificationsMust have a high school diploma or equivalent.Must have an outgoing personality, the ability to communicate...Suggested
KurzSolutions
Taos, NM3 days ago - POSITION PURPOSE The Laboratory Assistant position is responsible for performing phlebotomy duties on inpatients and outpatients, including vein puncture, capillary puncture and specimen processing. Manages specimen accessioning accurately and efficiently to provide...
Holy Cross Medical Center
Taos, NM1 day ago - ...Licensed Clinical Social Worker Primary Care Solutions (PCS) is one of the largest contract providers of primary care and behavioral health services to the U.S. Department of Veterans Affairs. We proudly manage and operate ten Veteran only primary care outpatient clinics...Contract workFor contractors
$15.5 per hour
...Caregiver to CNA Program. If you are looking to be part of an amazing team, come and join Ambercare! We are immediately hiring Home Care Aides. This rewarding position provides consistent, flexible full time/part time hours to accommodate your personal needs, while...Hourly payDaily paidFull timePart timeWork at officeImmediate startFlexible hoursAmbercare - an Addus family company
Taos, NM16 hours ago- ...Flex Home Care Aide - HCA We are urgently hiring Flex Home Care Aides - HCAs Come join a great team!! Position Summary: This position serves a vital function in support of the company's clients, seniors and people with disabilities living independently in their homes...Work at officeLocal areaImmediate startFlexible hoursShift workWeekend workDay shift
$15 per hour
...Caregiver to CNA Program. If you are looking to be part of an amazing team, come and join Ambercare! We are immediately hiring Home Care Aides. This rewarding position provides consistent, flexible full time/part time hours to accommodate your personal needs, while providing...Hourly payDaily paidFull timePart timeWork at officeImmediate startFlexible hours- ...Bonuses Direct Deposit Weekly Pay Sick Pay A Visiting Angels Companion Caregiver wears many hats as they help our elderly and home-care clients stay at home or recover at home with dignity. While no two client visits look exactly alike, responsibilities may include: Helping...Weekly payFull timePart timeReliefWork at officeLocal areaShift work
- ...We are committed to providing exceptional care to individuals in need. Our caregivers are highly trained and compassionate, with a passion for making a positive impact in the lives of others. With flexible scheduling, caring environment, competitive pay, bonus opportunities...Weekly payLocal areaImmediate startFlexible hoursShift work
$17 per hour
...Job Description Job Description The Personal Care Assistant/Home health Aide at Always Best Care Senior Services in Albuquerque, New Mexico is an exciting and rewarding position. As a Personal Care Assistant or HHA, you will be responsible for providing individualized...Work at officeImmediate start
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Care Coordinator. Be the first to apply!
