Early Intervention Specialist Jobs in Rio Rancho, NM

In-Clinic Enrollment Specialist (LCSW/MSW)

Location: On-site at Medical Group practices in Albuquerque, NM, with some Remote documentation and coordination.

Job Type: Full-Time

This position is not eligible for visa sponsorship. 

Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients.

Phamily, the company's core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care.  Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Learn more at phamily.com.

Job/Role Description

The In-Clinic Enrollment Specialist serves as the on-site representative of Phamily's Advanced Primary Care Management (APCM) program within Medical Group practices.

This role combines the clinical empathy and skill of a Licensed Clinical Social Worker (LCSW/MSW) with the operational purpose of patient engagement and enrollment.

The specialist drives APCM enrollment in clinics, strengthens relationships between providers, patients, and care management, and ensures patients understand and benefit from ongoing care coordination services.

This is a frontline, relationship-driven role essential to scaling Phamily's partnerships and embedding care management as a core component of every patient's healthcare journey.

Key Responsibilities:

• Identify and engage eligible patients for APCM enrollment during in-office visits, leveraging Phamily's platform and eligibility data.
• Explain the purpose and benefits of care management, emphasizing continuity of care and partnership with their providers.
• Serve as the in-office liaison between Phamily's Care Management team and providers and clinical staff.
• Provide real-time updates to physicians and practice managers about patient enrollments, social needs identified, and care management follow-up activities.
• Conduct brief social needs screenings during patient encounters to identify barriers such as transportation, food insecurity, or housing instability.
• Provide resource referrals and warm handoffs to community organizations or Phamily care managers for complex cases.
• Track and report key metrics including number of patient interactions, enrollments completed, SDoH interventions, and provider engagement.

Requirements:

Education & Licensure:

• Master's Degree in Social Work (MSW) required.
• Active Licensed Clinical Social Worker (LCSW) or equivalent state licensure strongly preferred in New Mexico.

Experience:

• 3+ years in a healthcare, care management, or clinical social work setting.
• Experience working in primary care or value-based care environments preferred.
• Proven ability to communicate effectively with physicians, practice staff, and patients.
• Demonstrated success in patient engagement, motivational interviewing, and addressing SDoH needs.

Skills & Competencies:

• Strong interpersonal and communication skills, with ability to build trust quickly.
• Comfort working in fast-paced, dynamic environments and adapting to evolving workflows.
• Proficiency with EHR systems (Epic, Athena, etc.) and care management platforms.
• Excellent organization and documentation habits.
• Empathetic, professional demeanor aligned with Phamily's mission of patient-centered care.

Work Style & Logistics

We are a fast-growing, early-stage company with a bold mission and significant work ahead; every employee at Jaan Health must embody growth company DNA. This means you have proven success in a high-performing environment: high velocity, strong ownership, comfort with ambiguity, resilience, and a true growth mindset.

You are both a playbook builder and executor, able to design scalable approaches for today while anticipating what the business will need tomorrow, and then follow through to deliver results.

Our culture is built on five principles that shape how we work, lead, and grow: 

• Care: We put patients, clients, teammates, and outcomes first. 
• Curiosity: We ask better questions, challenge assumptions, and keep learning. 
• Clarity: We simplify complexity, communicate directly, and create alignment. 
• Co-Creation: We collaborate across teams, perspectives, and disciplines. 
• Craftsmanship: We execute with excellence, ownership, and continuous improvement.

Our Compensation & Benefits 

• • Competitive compensation based on experience and impact
  • Comprehensive medical, dental, and vision coverage for employees and dependents at a low cost
  • Generous Paid Time Off: up to 35 paid days off each year so you can recharge, recover, and give back, including:
    • 12 vacation days accrued annually for rest, travel, and personal time
    • Up to 9 sick/wellness days to prioritize your health and well-being
    • 12 paid company holidays throughout the year
    • 2 paid give-back days
  • HSA and FSA account options
  • 401(k) with company match after 6 months of full-time employment
    • 100% match on the first 3% contributed, and 50% match on the next 2% contributed
  • A collaborative, mission-driven team helping transform healthcare at scale

If you take pride in delivering results, embrace challenges, and proactively seek improvement, then this is the place for you. You'll join a smart, humble, and collaborative team dedicated to improving healthcare. 

Phamily is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other legally protected status.