Care Coordinator

Department: Behavioral Health

Reports to: Director of Behavioral Health

FLSA Status: Exempt

Type of Position: Full-Time

Revised Date: 5/22/2024

• Uphold all principles of confidentiality and patient care to the fullest extent.
• Adhere to all professional and ethical behavior standards of the healthcare industry.
• Interact in an honest, trustworthy, and dependable manner with patients, employees, and vendors.
• Possess cultural awareness and sensitivity.
• Maintain a current insurable driver’s license.
• Comply with all Kewa Pueblo Health Corporation and Santo Domingo Health Center policies and procedures, as well

• Serve as a contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.
• Conduct home visits and outreach to Carelink NM patients and potential new program participants.
• Complete comprehensive needs assessments on patients in the Carelink NM Program.
• Serve on the integrated and interdisciplinary team that cares for Carelink NM patients.
• Work with MCOs in researching, investigating, and reporting grievances, appeals and critical incidents involving a program participant.
• Facilitate patient access to appropriate medical and specialty providers.
• Educate patient and family/caregiver(s) about relevant community resources.
• Facilitate and attend meetings between patient, family/caregiver(s), care team, payers, and community resources, as needed.
• Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals.
• Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs).
• Actively participate in internal and community program meetings.
• Serve as a member of the care coordination team which processes economic, social, emotional, mental, spiritual and cultural factors to enhance delivery of comprehensive health care.
• Other duties as assigned.

• Excellent computer skills and knowledge of software and applications associated with general office administration, excellent communication skills, both written and verbal.

• Core values consistent with patient-and-family centered approach to care.

• Demonstrated skills in effective and tactful communication skills, including written, verbal and nonverbal.

• Demonstrated knowledge of patient rights on confidentiality issues, patient confidentiality and consummate practitioner of HIPAA guidelines and regulations.

• Verifiable experience as an effective patient advocate, responding with empathy and respect to resolve patient and family concerns, and recognize opportunities for improvement to meeting patient concerns.

• Proactively continues to educate self on providing quality care and improving professional skills.

• Knowledge and skill in using an electronic health record.

• Working knowledge of medical terminology and medical care practice and procedures.

• A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.

• Bilingual skills in English and the Keres native language.

• Basic Life Support (BLS) and CPR/First Aid Certifications preferred.

• Prior experience working with Indian Health Services (IHS), a Tribe or Tribal organization.

• Prior work experience in a health care setting.