Health Educator

4 weeks ago


Albuquerque, New Mexico, United States State of New Mexico Full time
Job Summary

The New Mexico Department of Health is seeking a highly skilled Health Educator - Case Manager to join our team. As a key member of our Population and Community Health Bureau, you will be responsible for providing effective case management services to clients diagnosed with breast or cervical cancer and/or pre-cancer. Your expertise will facilitate access to Medicaid for treatment and serve as the statewide point of contact for other treatment funding options.

Key Responsibilities
  • Serve as the statewide determiner of presumptive eligibility, initial application, and annual re-certification for BCC Medicaid.
  • Assist BCC Program staff, statewide contracted providers, and BCC Program enrolled clients to access BCC Medicaid for cancer treatment.
  • Monitor and lead the administration of other available treatment funding options for individuals not eligible for BCC Medicaid.
  • Guide Program contracted providers in the provision of efficient and appropriate case management activities.
Requirements
  • At least 2 years of independent experience implementing case management needs assessments and prioritizing identified needs.
  • Knowledge of medical terminology.
  • Experience working with Medicaid preferably as a Presumptive Eligibility (PE) determiner.
  • Experience reviewing Medicaid applications and/or working with Managed Care Organizations (MCOs).
  • Fluency in English and Spanish (writing, speaking and reading) is required.
Working Conditions

This position includes activities carried out in an office setting, with considerable and constant exposure to VDT and personal computer use, extensive phone usage, and extended periods of sitting. Occasional statewide travel may be necessary, with the possibility of overnight travel.


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