Care Coordinator

Holy Cross Medical Center

Taos, NM

MINIMUM MANDATORY qualifications

Experience:

Experience in social services, healthcare, or related field

Education:

Bachelors Degree

Mandatory Knowledge, Skills, Abilities and Other Qualifications:

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.

Preferred qualifications

Two or more years experience in social service field or relevant health care setting.
Bi-lingual Spanish speaking.

essential Duties, functions & Responsibilities

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.

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Care Coordinator in Taos, NM vacancy

Residential Assistants
...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...
Suggested
Full time
Shift work
Night shift
New Mexico Wellness, LLC
Taos, NM
1 day ago
Behavioral Health Therapist Community Health Worker
...limited to answering phone and scheduling appointments.Assist with coordination of behavioral health referrals, warm hand-offs and maintain an... ...Centers (SHBCs). This position is allocated 90% to direct care coordination and support services, 10% to direct patient services...
Suggested
Work at office
El Centro Family Health
Taos, NM
8 days ago
RN Case Manager
...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...
Suggested
Full time
Contract work
Temporary work
For contractors
Local area
Chloeta
Taos, NM
4 days ago
Home Care Aide
$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...
Suggested
Hourly pay
Daily paid
Full time
Part time
Work at office
Immediate start
Flexible hours
Ambercare
Taos, NM
3 days ago
Home Health Aide HHA
...Home Health Aide (HHA) Taos, NM Delivering Purpose-Driven Care to Atomic Heroes About the Role: At Nuclear Care Partners, we provide compassionate, in-home care to individuals impacted by their work in the Department of Energy or Nuclear Energy programs...
Suggested
Full time
Part time
Shift work
Nuclear Care Partners
Taos, NM
12 hours ago
Home Care Aide Flex
...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...
Work at office
Local area
Immediate start
Flexible hours
Shift work
Weekend work
Day shift
Arcadia Resources , Inc.
Taos, NM
4 days ago
Laboratory Assistant/Phlebotomist
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, NM
4 days ago
Urgent Needed! Weekend Caregivers - Flexible hours
...of Responsibilities: * Create and maintain open communication with seniors, their families, and our staff * Assist with personal care * Companionship * Assist with all Activities of Daily Living (ADLs) as assigned We are an equal opportunity employer and...
Part time
Local area
Immediate start
Flexible hours
Shift work
Weekend work
Senior Helpers - Albuquerque, Rio Rancho, & Santa Fe
Taos, NM
more than 2 months ago
Home Health Aide (HHA or CNA)
$15 - $20 per hour
...Compassionate HHA or CNA Opportunity in El Valle De Arroyo Seco, NM Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized...
Contract work
Local area
Immediate start
Afternoon shift
Giving Home Health Care
Arroyo Seco, NM
4 days ago
Home Care Aide needed For Elderly Male in Taos, NM
$25 per hour
...Job Description Job Description We are a home care aide services agency that has been in business since 2007 and help elderly people stay safe and well in their homes. We provide home care services in 15 states. We also offer same-day pay options for our caregivers...
Daily paid
Work at office
Local area
All shifts
10 hours per week
Flexible hours
Shift work
Care Planning Institute, Inc
Taos, NM
4 days ago
Immediate caregiver Home Health Aide needed (offering free certification program)
$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 office
Immediate start
Always Best Care Senior Services - Albuquerque
Ranchos De Taos, NM
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Care Coordinator. Be the first to apply!