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Hiring for Healthcare Consultant in Miami Dade County, FL (33030, 33033, 33031, 33032, 33034)
LanceSoft Inc
- 🇺🇸 United States
- Remote
- 5 days ago
- Excel
5 days ago
Not enough detail in this posting to match
**** Job Title: ‘Healthcare Consultant I/ Care Coordinator’** **
**Â Position Type: Full-Time Contract Role**
****Â Location: Miami Dade County, FL(33030, 33033, 33031, 33032, 33034)
**Â **
**Work Type: Travel up to 75%Â + Remote 25% Â **
**** Est. Pay Range: : $30.00/hour – $34.00/Hour on W2 (USD) all inclusive ** **
****Schedule: Monday-Friday 8am-5pm ****
Description:
Telephonic and field visits.
Mileage is reimbursed to and from member homes.
Preferred Qualifications:
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Effective communication skills, both verbal and written We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. Â Our organization promotes autonomy through a Monday -Friday working schedule, paid holidays, 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 member's 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 member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's 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  Â
Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Conducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress
Conducts multidisciplinary review to achieve optimal outcomes
Identifies and escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's 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  Â
Case management experience required Long term care experience preferred Microsoft Office including Excel competent
Position Summary  Â
Location: Work from Home. Candidates must reside in Miami Dade County, FL
(33030m 33033, 33031, 33032, 33034). Training will be conducted remotely via Microsoft Teams for approximately 4 weeks.
Candidate will travel approximately 75% of the time within the region seeing
Members at home, in assisted living facilities and nursing homes.
Bilingual Spanish/English REQUIRED
Preferred Qualifications:
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Effective communication skills, both verbal and written
Education  Â
Bachelor's degree required - No Nurses. Social Work degree or related field
 
If you believe you're qualified for this position and are currently in the job market or interested in making a change, please give me a call as soon as possible at 571 678 0714.
Hiring for Healthcare Consultant in Miami Dade County, FL (33030, 33033, 33031, 33032, 33034) · LanceSoft Inc