LasCrucesRecruiter Since 2001
the smart solution for Las Cruces jobs

Medical Director

Company: Magellan Health
Location: Las Cruces
Posted on: November 10, 2019

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 typically performed during face-to-face home visits. 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, (i.e. during transition to home care, back up 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. General Job Information Title Care Coordinator Grade 21 Job Family Clinical Services Group Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 11/7/2019 Date Requisition Created 11/5/2019 Work Experience Clinical, Quality Education Associates, Bachelors, GED (Required), High School (Required) License and Certifications - Required DL - Driver License, Valid In State - Other License and Certifications - Preferred CCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt Other Job Requirements Responsibilities 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. Prefer Associates or Bachelors degree in Psychology, Nursing, Social Work, related Behavioral Health. If nursing, may have a Bachelors. Knowledge of various public and private services available for individuals with mental illness. Knowledge of hospital procedures governing the discharge of individuals with mental illness. 3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree. Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

Keywords: Magellan Health, Las Cruces , Medical Director, Other , Las Cruces, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Other Jobs

E-mail Marketing Processor
Description: You will need to be able to send out mass emails on a daily basis regarding our business services. There will be NO typing allowed for this position to avoid clerical errors, you will
Company: Mommy Jobs Online
Location: El Paso
Posted on: 11/23/2019

Physical Therapist PT Jobs
Description: Of all the Healthcare Professional specialties we offer, Physical Therapist are one of the specialties that have the most difference between staffing agencies in job / travel assignment locations and (more...)
Company: HealthCare Travelers (Therapist)
Location: El Paso
Posted on: 11/23/2019

Business Service Specialist-Bill
Description: The Business Service Specialist is a public workforce grant funded position responsible for the coordination of connecting employers in a city, county or region with the services
Company: Manpower
Location: El Paso
Posted on: 11/23/2019

Accounts Payable Administrator
Description: Job Title: Accounts PayableDepartment: Business Office Reports To: ControllerFLSA Status: Non-exemptPrepared By: Human Resource Department SUMMARYCompiles and maintains verified accounts payable records. (more...)
Company: Texas State Job Bank
Location: El Paso
Posted on: 11/23/2019

Accounts Receivable Clerk
Description: Ref ID: 04020-0011245009Classification:
Company: Accountemps
Location: El Paso
Posted on: 11/23/2019

Registered Nurse / Home Hemo Dialysis HHD RN
Description: Registered Nurse Home Hemodialysis Dialysis Experience required In this nursing role, you take responsibility for the complete ongoing care of each patient to ensure their home dialysis treatment (more...)
Company: DaVita
Location: El Paso
Posted on: 11/23/2019

Bilingual Safety Advisor
Description: Bilingual Safety AdvisorEl Paso, TX br CORE Safety Group is a nationwide safety management and loss control consultant. We are currently seeking a Bilingual Safety Advisor for a 2-year assignment in (more...)
Company: CORE Safety Group
Location: El Paso
Posted on: 11/23/2019

Call Center Sales Representative
Description: Job Description Are you looking for something more than a job At DialAmerica, we want to make sure that work is more than just a four-letter word. We want you to be part of something that you enjoy in (more...)
Company: DialAmerica
Location: El Paso
Posted on: 11/23/2019

Accounts Payable Specialist
Description: Position ---------- : Accounts payable SpecialistLocation : San Antonio, TXDuration : 6 Months ContractTotal Hours/week : 40.001st-- shift --Description:Primary Duties and Responsibilities: ul li (more...)
Company: Millenniumsoft
Location: El Paso
Posted on: 11/23/2019

Registered Nurse (RN)
Description: Job DescriptionRegistered Nurse RN - Night ShiftsNow Offering Paid Time Off PTO BenefitsAveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring compassionate Registered (more...)
Company: Aveanna Healthcare
Location: El Paso
Posted on: 11/23/2019

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Las Cruces RSS job feeds