Member Care Coordinator
3 months ago
Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Care Coordinator, working in Insurance industry in Las Cruces, New Mexico. Responsible for home health assessments and system updates.Perform outreach and follow up attempts to members on their health care plan.Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise.Inform and educate members on their program, may use supplied scripts.Complete records in system by performing data entry.Encourage member usage of our programs, including arranging appointments and additional member services (e.g., transportation).Generate appropriate correspondence and send to member manually, electronically, or telephonically.Conduct check-ins with members to review individual care plan goals.Maintain production requirements based on established department business needs.Provide support to the clinical team by performing the non-clinical functions (as identified by the business process) necessary to generate, manage, and close a case within the platform.Receive, analyze, conduct research and respond to telephone and/or written inquiries.Process information from member or provider to determine needs/wants and ensure customer questions have been addressed.Respond to customer or send to appropriate internal party.Notify help desk of system issues.Perform data entry function to update customer or provider information.Obtain required or missing information via correspondence or telephone.Serve as contact for the various groups regarding claims which involves conducting research, obtaining medical records/letters of medical necessity from TMG, reopen or initiate new cases as needed and refer case to clinicians.Support and maintain communications with various in-house areas regarding groups? concerns, i.e.: Marketing, Provider Affairs, and SSD.Communicate and interact effectively and professionally with co-workers, management, customers, etc.Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.Maintain complete confidentiality of company business.Maintain communication with management regarding development Our ClientOur client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years' experience and growth. Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations. Big enough to have great opportunities. Small enough to care about finding the right one for you. It'sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?Experience Required for Your SuccessBachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.Knowledge of medical terminologyExperience coordinating member medical related needs, providing assistance to members, and analyzing member needsPC proficiency including Microsoft Office applicationsCustomer service skillsVerbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issuesCurrent state driver license, transportation, and applicable insuranceAbility and willingness to travelPrevious behavioral health experience; willing to complete community visitsWhat Do You Think?Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?
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Member Care Coordinator
3 months ago
Las Cruces, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Care Coordinator, working in Insurance industry in Las Cruces, New Mexico. Responsible for home health assessments and system updates. Perform outreach and follow up attempts to members on their health care plan. Build...
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Care Coordinator
3 months ago
Las Cruces, United States Magellan Health Full timeCoordinates 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...
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Care Coordinator
4 weeks ago
Las Cruces, New Mexico, United States PSG Global Solutions Careers Full timeJob Title: Member Care CoordinatorWe are seeking a highly skilled and compassionate Member Care Coordinator to join our team at PSG Global Solutions Careers. As a Member Care Coordinator, you will play a critical role in ensuring the well-being and satisfaction of our members by providing exceptional care and support.Key Responsibilities:Conduct home health...
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Nurse Care Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Memorial Medical Center Full timeAbout the RoleWe are seeking a highly skilled and compassionate Nurse Care Coordinator to join our team at Memorial Medical Center. As a key member of our healthcare team, you will play a vital role in coordinating the clinical, educational, and supportive needs of patients facing a possible breast cancer diagnosis, newly diagnosed, or at increased risk.Key...
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Nurse Care Coordinator
1 month ago
Las Cruces, New Mexico, United States Memorial Medical Center Full timeAbout the RoleWe are seeking a skilled Nurse Care Coordinator to join our Total Joint Services team at Memorial Medical Center. As a key member of our multidisciplinary team, you will be responsible for coordinating the quality of care for total hip and total joint replacement patients.Key ResponsibilitiesDevelop and implement individualized care plans to...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout Casa Del Sol Care Center - Las Cruces, NMWe are a leading provider of healthcare services, offering a wide range of living options and professional clinical services. Our mission is to improve the lives we touch through the delivery of high-quality healthcare and everyday compassion.Job SummaryWe are seeking a skilled LPN MDS Coordinator to join our...
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Care Coordinator
2 days ago
Las Cruces, United States National Guard Employment Network Full timeJob DescriptionATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set,...
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Care Coordinator
4 days ago
Las Cruces, United States National Guard Employment Network Full timeJob Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set,...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeJob SummaryCasa Del Sol Care Center - Las Cruces, NM is seeking a skilled LPN MDS Coordinator to join our team. As a key member of our interdisciplinary team, you will play a vital role in ensuring the highest quality of care for our residents.Key ResponsibilitiesDirect the nursing center interdisciplinary Resident Assessment Instrument (RAI) process,...
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Care Coordinator
2 weeks ago
Las Cruces, New Mexico, United States LifePoint Hospitals Full timeAbout UsAt Memorial Medical Center, we're passionate about delivering exceptional patient care and creating a work environment that values and respects our employees. Our hospital offers a comprehensive range of services, including diagnostic, therapeutic, and rehabilitative care, both inpatient and outpatient.Our CommunityLas Cruces is a vibrant city that...
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Care Coordination Specialist Clinics
4 weeks ago
Las Cruces, New Mexico, United States MountainView Regional Medical Center Full timeAbout the Role:The Care Coordination Specialist Clinics is a vital member of our team at Mountain View Regional Medical Center, responsible for ensuring seamless patient care through referrals and authorizations for services. This role requires close collaboration with healthcare providers and clinical staff to guarantee that all orders are submitted and...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout the RoleWe are seeking a skilled Licensed Practical Nurse (LPN) to fill the position of MDS Coordinator at Casa Del Sol Care Center in Las Cruces, NM. As an LPN MDS Coordinator, you will play a vital role in the Resident Assessment Process, ensuring the delivery of high-quality patient care and accurate reimbursement for the care provided.Key...
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Dental Care Coordinator
2 weeks ago
Las Cruces, New Mexico, United States Choice Health Care Full timeJob Title: Traveling Dental AssistantJob Summary:We are seeking a highly skilled and experienced Traveling Dental Assistant to join our team at Choice Health Care. As a Traveling Dental Assistant, you will provide support to our dental care delivery team by preparing treatment rooms, patients, instruments, and materials. You will also assist in procedures,...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout Casa Del Sol Care CenterWe are a leading provider of healthcare services, offering a wide range of living options and professional clinical services. Our mission is to improve the lives we touch through the delivery of high-quality healthcare and everyday compassion.Job SummaryWe are seeking a skilled LPN MDS Coordinator to join our team at Casa Del...
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Patient Care Coordinator
3 weeks ago
Las Cruces, New Mexico, United States Porch Light Health Full timeJob SummaryPorch Light Health is seeking a dedicated and compassionate Patient Care Coordinator to join our team. As a key member of our outpatient treatment team, you will play a vital role in supporting our patients on their journey to recovery.Responsibilities:Provide exceptional patient care and support in a fast-paced medical environmentAssist with...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout Casa Del Sol Care Center - Las Cruces, NMWe are a leading provider of healthcare services, offering a wide range of living options and professional clinical services. Our mission is to improve the lives we touch through the delivery of high-quality healthcare and everyday compassion.Job SummaryWe are seeking an LPN MDS Coordinator to join our team at...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeCasa Del Sol Care Center - Las Cruces, NMLPN MDS Coordinator Job SummaryWe are seeking a skilled LPN MDS Coordinator to join our team at Casa Del Sol Care Center in Las Cruces, NM. As an LPN MDS Coordinator, you will play a critical role in ensuring the delivery of high-quality care to our residents by participating in the Resident Assessment Process and...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout Casa Del Sol Care Center - Las Cruces, NMWe are a leading provider of healthcare services, offering a wide range of living options and professional clinical services. Our mission is to improve the lives we touch through the delivery of high-quality healthcare and everyday compassion.Job SummaryWe are seeking an LPN MDS Coordinator to join our team. As...
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LPN MDS Coordinator
4 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout Casa Del Sol Care Center - Las Cruces, NMWe are a leading provider of healthcare services, offering a wide range of living options and professional clinical services. Our mission is to improve the lives we touch through the delivery of high-quality healthcare and everyday compassion.Job SummaryWe are seeking an LPN MDS Coordinator to join our team. As...
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LPN MDS Coordinator
3 weeks ago
Las Cruces, New Mexico, United States Casa Del Sol Care Center - Las Cruces, NM Full timeAbout the RoleWe are seeking a skilled LPN to join our team as a Minimal Data Set Coordinator at Casa Del Sol Care Center in Las Cruces, NM. As a key member of our interdisciplinary team, you will play a vital role in ensuring the highest quality care for our residents.Key ResponsibilitiesDirect the nursing center interdisciplinary Resident Assessment...
