Job Description

Shift: Monday - Friday 8:00 AM – 5:00 PM

Description:

Location: Candidate must be located in the Miami-Dade County Area (Doral, Coral Gables, Hialeah Area)

Candidates will travel up to 60-75% of the time within the listed area, seeing Members at Home, in Assisted Living Facilities, and Nursing Homes.

• We are seeking a self-motivated, energetic, detail-oriented, highly organized, tech-savvy Bilingual in Spanish Case Management Coordinator to join our Case Management team.
• Provide Comprehensive Healthcare Management Services to facilitate appropriate Healthcare Treatment, Effectively Manage Healthcare Costs, and Improve Healthcare Program/Operational efficiency involving clinical issues.
• 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.
• Effectively manage a caseload that includes supportive and medically complex members.

Responsibilities:

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

Required Qualifications:

• One year of Case Management Experience A MUST
• Bilingual - Spanish / English
• Long Term Care Experience (Preferred)
• Microsoft Office, including Excel competency
• Effective communication skills, both verbal and written

Education:

• Bachelor's Degree required - No Nurses. Social Work degree or related field.

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