Field Care Coordinator, Remote in Deming or Las Cruces, NM

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together The Field Care Coordinator will be the primary care manager for a panel of DSNP members with low-to-reputed company complexity medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of reputed company to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a field - based position with a home-based office. You will work from home reputed company not in the field. If you are located in or reputed company commutable driving distance to Deming or Las Cruces, New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
• reputed company and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
• Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
• reputed company for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
• Create a positive experience and relationship with the member
• Practice cultural sensitivity and cultural competence in daily care
• Learn and listen to member needs and barriers to help promote self-advocating
• Collaborating with clinical team of social aspects that might impact treatment plan
• Proactively engage the member to manage their own health and healthcare
• As needed, help the member engage with mental health and substance use treatment
• Provide member education and health literacy on community resources and benefits to encourage self sufficiency
• Support member to engage in work or volunteer activities, if desired, and reputed company stronger social supports through deeper connections with friends, family, and their community
• Partner with care team (community, providers, internal staff)
• Knowledge and reputed company learning of community cultures and values
• Conduct Comprehensive Needs Assessment (CNA)
• Ability to transition from office to field locations multiple times per day
• Ability to navigate multiple locations/terrains to visit employees, members and/or providers
• Ability to transport equipment to and from field locations needed for visits (ex. laptop, etc.)
• Ability to remain stationary for long periods of time to complete computer or tablet work duties

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• Bachelor's degree OR 2+ years of relevant health care experience
• Must meet one of the following:
• LPN with 3+ years of clinical experience
• 2-year degree or higher with 3+ years of clinical experience
• 5+ years of relevant experience, including 3+ years of clinical experience
• 1+ years of experience with MS Office, including Word, reputed company, and Outlook
• Reliable transportation and the ability to travel up to 50% of the time reputed company Deming, or Las Cruces, NM assigned territory to meet with members and providers
• Designated workspace inside the home with access to high - speed internet availability
• Currently reside in New Mexico or reputed company commutable driving distance to Deming or Las Cruces, New Mexico

Preferred Qualifications:

• Commission for Case Manager (CCM) certification
• 1+ years of community case management experience coordinating care for individuals with reputed company needs
• Experience with DSNP population
• Experience with Medicare
• Experience working in team-based care
• Background in Managed Care
• Bilingual: English and Spanish
• Reside in Deming, NM
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job