Care Manager - Social Worker

Care managers coordinate comprehensive care plans for high-risk patients at Salud Family Health, addressing medical and social needs to reduce healthcare costs and improve health outcomes. Patients benefit from advocates who connect them to internal dental providers and external community agencies for stable support. The role involves assessing needs using electronic health records and developing individualized plans to manage chronic conditions effectively. Care managers prioritize patients enrolled in the Accountable Care Collaborative, ensuring they receive integrated services like behavioral health support for underserved populations.

Salud Family Health serves communities in southern New Mexico, providing medical, dental, and behavioral health services under a medical home model with team-based care. The organization treats patients regardless of insurance status or ability to pay, reaching thousands yearly to improve broad access. Salud collaborates with pharmacists, dentists, and behavioral specialists to coordinate treatment plans that integrate primary care, pharmacies, and community resources.

Care managers interact with patients to facilitate self-management and behavior change through home visits and clinic consultations. They assist in risk stratification by reviewing electronic records and identifying ACC-enrolled patients needing intensive support. Managers develop care programs including referrals to housing assistance and nutrition programs, then follow up via phone calls and in-person check-ins. Work occurs in team-based settings, collaborating with providers across departments on care milestones and patient goals. A primary challenge includes managing high caseloads of vulnerable patients while documenting accurately in health records systems like the one used for Medicaid applications.

Compensation ranges from $20 to $23 per hour for a full-time role working 8 hours daily in a five-day week from Monday to Friday. Work locations include Salud clinics across southern New Mexico without specific city listings, offering no travel requirements beyond local community outreach. Schedules include 5 holidays, 10 paid sick days, and up to 8 accrued sick days annually, with generous vacation benefits starting at 10 paid days. Benefits comprise medical PPO plans with $25 co-pays, low deductibles, free facility visits, dental vision, life insurance, accidental death disability, short-term long-term disability, accident critical illness, employee assistance, defined contribution pension with 5% employer contribution, 403(b), flexible spending, annual physical exams, transportation assistance, and free childcare. Salud prohibits unlawful discrimination based on age, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or other protected statuses.