Top 104 Complex care case manager Jobs in New Mexico

Care Coordinator- CISC
Magellan Health —Clovis, NM
- $50,225 - $75,335 a year
- Full-time
- Nursing
- RN License
- Licensed Clinical Social Worker
Nurse Case Manager
Battelle —Cannon AFB, NM
- Full-time
- Hybrid work
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health insurance
RISE Case Manager
Correctional Solutions Group, LLC —Carrizozo, NM
- $22 - $23 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Licensed Mental Health Therapist
ASCEND RECOVERY CENTER NM —Albuquerque, NM
- $65,000 - $80,000 a year
- Part-time
- LMFT
- Spanish
- Addiction Medicine
Quick Apply
Licensed Practical Nurse
Softsages Technology —Santa Fe, NM
- $35 - $37 an hour
- Travel nursing
- Experience working with individuals with developmental disabilities
- Vital signs
- HIPAA
Quick Apply
2d
Physician - Pulmonary/Critical Care PER DIEM
Christus Health —Santa Fe, NM
- PRN
- Medicine
- Surgery
- BC/BE
- Relocation assistance
- 403(b)
7d
(USA) Asset Protection Operations Coach
Walmart —Taos, NM
- $65,000 - $100,000 a year
- High school
- Bachelor of Science
- Merchandising
- Paid jury duty
- Disability insurance
9d
Intake Representative - ALBUQUERQUE, NM
COMAGINE HEALTH —New Mexico
- $20 - $23 an hour
- Remote
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
- Paid parental leave
- Health insurance
Quick Apply
Social Worker (Program Coordinator)
US Veterans Health Administration —Albuquerque, NM
- $121,840 - $158,393 a year
- Online Application
- Background check
- Master of Social Work
- Addiction Medicine
2d
Care Manager (RN) Remote (Dona Ana, NM)
Molina Healthcare —Doña Ana, NM
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- HIPAA
- Mid-level
- Health insurance
2d
Senior Social Worker
US Veterans Health Administration —Albuquerque, NM
- $102,460 - $133,201 a year
- Weekends as needed
- Background check
- Master of Social Work
- Writing skills
- Paid parental leave
- Paid holidays
5d
Senior Social Worker/ BHIP Care Coordinator
US Veterans Health Administration —Albuquerque, NM
- $102,460 - $133,201 a year
- Online Application
- Background check
- Master of Social Work
- Writing skills
- Paid parental leave
- Paid holidays
7d
Clinical Trial Manager - Full Service
サイネオス・ヘルス —New Mexico
- Remote
- Computer literacy
- Bachelor's degree
- Travel
- Employee stock purchase plan
- Health insurance
9d
Office of Community Health Workers Tribal & Northern Coordinator (DOH/PHD/PCHB #55583)
State of New Mexico —Albuquerque, NM
- $27.37 - $41.06 an hour
- Full-time
- Research
- Mid-level
- Office
Senior Manager, Mental Well-being Operations Innovation
CVS Health —New Mexico
- $67,900 - $199,144 a year
- Full-time
- Remote
- 7 years
- SQL
- Analysis skills
- Health insurance
- Dental insurance
3d
Case Manager
University of New Mexico —Albuquerque, NM
- $19.56 - $26.58 an hour
- Full-time
- Background check
- Adults
- Inpatient
- Health insurance
- Dental insurance
Case Manager (K’awaika Senior Center)
Laguna Rainbow Corporation —Casa Blanca, NM
- Weekends as needed
- Nursing
- Microsoft Excel
- Management
SSVF Case Manager
Goodwill Industries of New Mexico —Albuquerque, NM
- From $23 an hour
- Extended hours
- Master of Social Work
- Clean driving record
- Word processing
Quick Apply
Audit Service Delivery Lead
SQA Services —Albuquerque, NM
- $55,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Bachelor's degree
- Senior level
- Paid parental leave
- Paid holidays
Quick Apply
12d
Employee Assistance Program Counselor
Finance & Admin Services —Albuquerque, NM
- $75,795.20 - $79,643.20 a year
- Full-time
- Licensed Clinical Social Worker
- Mid-level
- Office
- Paid holidays
- Disability insurance
12d

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complex care case manager jobs near new mexico

Care Coordinator- CISC

Magellan Health -
Clovis, NM

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Job Details

Full-time
$50,225 - $75,335 a year

Qualifications

Cost management
Term negotiation
Utilization review
Business analysis
Community resource coordination in health services social work
Trend analysis
High school diploma or GED
Driver's License
Records management
Data management
Cost analysis
Utilization management
Clinical program data analysis
Resource utilization in healthcare
Health information management
Business management
Community relationship building
Managing patient records
Clinical data analysis
Referral coordination
Data-driven decision making
Cost-benefit analysis (CBA)
Quality assurance experience within healthcare

Full Job Description

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.
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, 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.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Other Job Requirements

Responsibilities

3-5 years' experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.
Experience in analyzing trends based on decision support systems.
Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.
Knowledge of referral coordination to community and private/public resources.
Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.
Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.
Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.
Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.
Ability to maintain complete and accurate enrollee records.
Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.

General Job Information

Title

Care Coordinator- CISC

Grade

Work Experience - Required

Clinical, Quality

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associate, Bachelor's

License and Certifications - Required

DL - Driver License, Valid In State - OtherOther

License and Certifications - Preferred

CCM - Certified Case Manager - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt

Salary Range

Salary Minimum:

$50,225

Salary Maximum:

$75,335

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Apply Now

Refine Your Search

complex care case manager jobs in new mexico

Care Coordinator- CISC

Nurse Case Manager

RISE Case Manager

Licensed Mental Health Therapist

Licensed Practical Nurse

Physician - Pulmonary/Critical Care PER DIEM

(USA) Asset Protection Operations Coach

Intake Representative - ALBUQUERQUE, NM

Social Worker (Program Coordinator)

Care Manager (RN) Remote (Dona Ana, NM)

Senior Social Worker

Senior Social Worker/ BHIP Care Coordinator

Clinical Trial Manager - Full Service

Office of Community Health Workers Tribal & Northern Coordinator (DOH/PHD/PCHB #55583)

Senior Manager, Mental Well-being Operations Innovation

Case Manager

Case Manager (K’awaika Senior Center)

SSVF Case Manager

Audit Service Delivery Lead

Employee Assistance Program Counselor

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