ABOUT APH

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 and committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal consecutive times.

APH offers customized programs for insurance groups, providers, hospitals, and families, which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. As one of the country's few fully integrated healthcare providers, APH provides top-notch medical services with a range of service lines. The company is expanding and looking for individuals who want to make a difference and help those in need. 

POSITION SUMMARY 

As a Population Health Company, we are seeking a Community Care Case Manager to play a pivotal role in coordinating and managing the care of individuals within the community, ensuring they receive comprehensive and integrated services. This position requires a skilled and compassionate professional who can assess clients' needs, develop care plans, and collaborate with various healthcare and social service providers. The Community Care Case Manager advocates for clients promotes their well-being and facilitates access to resources that support health and independence.

As a Community Care Case Manager, you will play a critical role in improving the health outcomes and quality of life for individuals within the community. Their comprehensive and client-centered approach helps bridge gaps in care, promotes wellness, and empowers clients to achieve their health goals.

This role reports to our Community Care Area Manager. 

This position is based in the field and requires travel throughout Las Cruces, Dona Ana County, and surrounding areas to support members. 

DUTIES & RESPONSIBILITIES

• Care Coordination Compliance: Ensure care coordination complies with 42 C.F.R. § 438.208 and all relevant agreement requirements.
• Health Risk Assessment: Perform standardized Health Risk Assessments (HRAs) as per New Mexico Health Services Department guidelines, determining if members need comprehensive assessments.
• Member Classification: Accurately place each member in appropriate care coordination levels as per agreement standards.
• Comprehensive Needs Assessment (CNA): Conduct CNAs for members meeting specific conditions, complete related questionnaires, and agreements, and inform members about community benefits tailored to their needs.
• Care Plan Development: Develop and implement Comprehensive Care Plans (CCPs) based on individual member needs and preferences in alignment with the agreement guidelines.
• Ongoing Care Delivery: Deliver continuous care coordination services in accordance with the member’s assessed needs, CCP, and required frequency of contact.
• Response to Member Needs: Consistently assess and respond to members' needs for services and assistance.
• Level 2 and 3 Coordination: Conduct CNAs for members meeting specified indicators to determine their assignment to care coordination level 2 or 3, and ensure compliance with requirements for members not assigned to these levels.
• Team Collaboration: Utilize a care coordination team approach, collaborating with various health and community resources to address member needs effectively.
• Other Duties as assigned by management.

SKILLS & QUALIFICATIONS

• Two (2) years of relevant healthcare-related experience. 
• Natural ability to develop innovative solutions, drive growth, and build relationships with members.
• Experience in conducting comprehensive needs assessments and developing care plans.
• Knowledge of local health resources and services.
• Ability to work collaboratively within a team and with diverse community resources.
• Strong communication and interpersonal skills.

EDUCATION, LICENSES, & CERTIFICATIONS

• Bachelor’s degree required. Two years of relevant healthcare experience will also be considered. 
• Master’s degree preferred.
• Current and unrestricted driver's license.
• Must maintain current CPR certification.