Healthcare Consultant I

Tallahassee, FL - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Job Opportunity: Healthcare Consultant I

Location: Remote/ Field Tallahassee FL 32301

Shift: Monday-Friday 8:00am-5:00pm

Duration: 3 Months (Contract)

Pay Rate: $34/hr (W2)

Summary

Case Management Coordinator is responsible for telephonically and/or face to face assessing planning implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a members overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations Coordination with PCP and skilled providers Condition management information Medication review Community resources and supports.

Roles and Responsibilities

Utilizes negotiation skills to secure appropriate options and services necessary to meet the members benefits and/or healthcare needs

Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

Provides coaching information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Helps member actively and knowledgeably participate with their provider in healthcare decision-making

Monitoring Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Experience

Case management experience required

Long term care experience preferred

Microsoft Office including Excel competent

Education

Bacherlors degree required-No nurse social work degree or related field.

Job Opportunity: Healthcare Consultant I Location: Remote/ Field Tallahassee FL 32301 Shift: Monday-Friday 8:00am-5:00pm Duration: 3 Months (Contract) Pay Rate: $34/hr (W2) Summary Case Management Coordinator is responsible for telephonically and/or face to face assessing planning implement...