Amerigroup was founded in 1994 to respond to the growing need for private-sector partners in states managing healthcare programs for lower-income families and people with disabilities. Since its inception, Amerigroup has been a proven leader in meeting the states' objectives of providing accountability and improving access to healthcare while still controlling care costs. Today, Amerigroup is the largest publicly-traded company focused exclusively on meeting the needs of those enrolled in publicly-funded healthcare programs, such as, Medicaid and Medicare. Through its subsidiaries, Amerigroup Corporation serves approximately 1.7 million people in Florida, Georgia, Maryland, New Jersey, New Mexico, New York, Nevada, Ohio, South Carolina, Tennessee, Texas, and Virginia.

Make a Difference.

In your own community.

We bring our expertise-and a high quality of care-to those who are part of New Mexico's new Medicaid Coordination of Long-Term Care Program...CoLTS.

Work face-to-face with our members to ensure the right level of care is received. Develop Care Plans to meet individual needs and ensure cost effective utilization of health services without compromising quality of outcomes.



* Conduct field visits to perform Assessments with Health Plan members.

* Obtain a thorough and accurate member history including clinical, social, and environmental factors.

* Assess member's biopsychosocial factors.

* Identify need for assistive devices/adaptive equipment for members.

* Assess each member's clinical, behavioral, social, and environmental information to develop Individual Service Plans and a member support system.

* Acts as an advocate for an individual's health care needs.

* Identify members that would benefit from alternative level of care or other waiver programs.

* Establishes short and long term goals in collaboration with the member that meet the member's needs and the referral source's requirements.

* Communicate care objectives to appropriate individuals/departments/referral sources.

* Identify members with potential for high risk complications and coordinate appropriate treatment in conjunction with the member and the health care team.

* Establishes working relationships with referral sources and community resources.

* Review benefit systems and conduct cost benefit analysis.

* Evaluate quality of necessary medical services.

* Acquire data and evaluate necessary health services for cost containment.

* Document effectiveness of service coordination services.

* Collaboratively works with other clinical team members and other departments.

Education:

Required:

Bachelors degree from an accredited college or university in nursing, social work, counseling special education or a closely related field or State Waiver.



Preferred:

Masters degree from an accredited college or university in nursing, social work, counseling special education or a closely related field.



Years and Type of Experience:

Required:

Minimum one year of experience working with disabled and elderly individuals in a Service Coordinator, Case Management, or Advocate role.



Preferred:

* One to two years working in the community with community agencies.

* Three years experience in health care, case management, discharge planning, or behavioral health.



Specific Technical Skills:

Required:



Excellent verbal and written communications skills.

* Strong decision making skills.

* Ability to provide services in an environment that involves multiple health care systems.

* Ability to interact with all relevant components of the health care system.

* Ability to provide services that deal with the individual's broad spectrum of needs.

* Self-starter with ability to handle multiple projects at one time.

* Appreciation of cultural diversity and sensitivity towards target population.



Preferred:

* Working knowledge of state's Elderly/Disabled Medicaid program.

* Proficient computer skills.

* Bilingual (ability to read, write, and speak).



Certifications or Licensure:

Preferred:

Current State license to practice Nursing, Social Work or Behavioral Health.



Required:

Must possess a valid driver's license and access to a motor vehicle.





PHYSICAL REQUIREMENTS

* Must be able to operate a computer.

* Must be able to operate (and communicate via) a telephone.

* Must be able to sit for long periods of time.

* Must be able to travel locally to member's homes and provider facilities.

* Must be able to ask questions and understand responses.

Visit www.amerigroup.jobs or contact Joey at

newmexhr@amerigroupcorp.com or 800-374-3631,

ext. 33749.

'Best Places to Work in Healthcare'

- Modern Healthcare 2008

AMERIGROUP Community Care is an Equal Opportunity Employer/Drug-

Free Workplace. M/F/V/D Background Investigation Required.



In accordance with state and federal laws, employment offers are tendered solely on the basis of qualifications without regard to race, religion, color, national origin, age, sex, marital status, sexual orientation, handicap (including disabled veterans) or Vietnam Era veteran status.



AMERIGROUP administers pre-employment drug testing as a condition of employment and a satisfactory criminal history background report.

To Apply for this position, please CLICK HERE