Healthcare Consultant I (75 Travel and 25 Remote)

Hialeah, FL - USA

Monthly Salary: Not Disclosed

Posted on: 8 days ago

Vacancies: 1 Vacancy

Job Summary

Here are the job details for your review:

Job Title: Travel Case Manager

Job Location- Hialeah FL

Duration: 3 Months Contract (Potential for extension)

Pay Rate: $34.11/HR on W2

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

This role will require 50-75% travel for face-to-face visits with members in the Hialeah (Must be in 33018) area of Miami-Dade County FL.

Mileage is reimbursable

DO NOT CROSS SUBMIT CANDIDATES FOR SOUTH FLORIDA POSTINGS.

MUST BE FLUENT IN ENGLISH AND SPANISH
MUST RESIDE IN ONE OF THE ZIP CODES BELOW
ADD CITY STATE AND ZIP AT TOP OF RESUME

We are seeking self-motivated energetic detail oriented highly organized tech-savvy Case Management Coordinator to join our Case Management team in the Hialeah ( 33018) area of Miami-Dade County FL

Our organization promotes autonomy through a Monday - Friday 8:00AM - 5:00PM working schedule and flexibility as you coordinate the care of your members. 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

Duties

Coordinate case management activities for Medicaid Long Term Care / Comprehensive Program members
Use critical thinking and judgment to support care coordination and healthcare decision-making
Conduct comprehensive member assessments using care management tools and data review
Develop implement and monitor care plans to ensure progress toward health goals
Collaborate with multidisciplinary teams to achieve optimal outcomes
Identify and escalate quality of care issues through established channels
Negotiate services and resources to meet member healthcare and benefit needs
Apply motivational interviewing techniques to improve member engagement and promote behavior change
Educate coach and support members to make informed healthcare and lifestyle decisions
Ensure accurate monitoring evaluation and documentation in compliance with regulatory and company standards

Preferred Qualifications

Ability to multitask prioritize and effectively adapt to a fast-paced changing environment
Effective communication skills both verbal and written
Managed Care experience
Computer proficiency in Microsoft Word Excel and Outlook required
Case management and discharge planning experience

Experience

Case Management experience required
Long Term Care experience preferred
Proficiency in Microsoft Office (Excel Teams Outlook)

Education
-Bachelors degree required. No nurses. Social work degree or related field.

Here are the job details for your review: Job Title: Travel Case Manager Job Location- Hialeah FL Duration: 3 Months Contract (Potential for extension) Pay Rate: $34.11/HR on W2 Shift : Monday - Friday: 8 am - 5 pm EST This role will require 50-75% travel for face-to-face visits with members...