Verum Technical Staffing
http://cdn.haleymarketing.com/templates/62326/logos/200x200.png
http://www.verumtechnical.com
http://www.verumtechnical.com
USD
35
37
HOUR
true
Here are the job details for your review:
Job Title: Healthcare Consultant I
Client Name: CVS Health/Aetna
Duration: 5 months (possibility to extension)
Pay Rate: $37.39/HR on W2
Shift Timings: Monday -Friday 8AM-5PM
Job Description:
Location - Need Candidates in South Hillsborough County, FL between Riverview and Sun City Center area.
Location: Candidates must reside in Hillsborough County, FL.
Training will be conducted remotely via Microsoft Teams.
Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes. Travel miles will be paid
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.
Roles And Responsibilities:
Experience:
Case management experience required
Long term care experience preferred
Microsoft Office including Excel competent
Preferred Qualifications:
Bilingual Spanish/English
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
Education:
Bachelor's degree required - No nurses. Social work degree or related field.
*Healthcare Consultant I
Tallahassee, FL 32310 United States
Posted: 08/30/2024
2024-08-30
2024-10-20
Job Number: z5G7h3l6a1kMvyS65NP3cwqT8b1C7WqmmYVz70WZ-jM=
Pay Rate: 35-37 USD
Job Description
Here are the job details for your review:
Job Title: Healthcare Consultant I
Client Name: CVS Health/Aetna
Duration: 5 months (possibility to extension)
Pay Rate: $37.39/HR on W2
Shift Timings: Monday -Friday 8AM-5PM
Job Description:
Location - Need Candidates in South Hillsborough County, FL between Riverview and Sun City Center area.
Location: Candidates must reside in Hillsborough County, FL.
Training will be conducted remotely via Microsoft Teams.
Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes. Travel miles will be paid
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.
Roles And 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.
- 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:
Case management experience required
Long term care experience preferred
Microsoft Office including Excel competent
Preferred Qualifications:
Bilingual Spanish/English
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
Education:
Bachelor's degree required - No nurses. Social work degree or related field.
Related Jobs:
Login to save this search and get notified of similar positions.About Tallahassee, FL
Ready to embark on a career adventure in scenic Tallahassee, Florida? Nestled in the heart of the Sunshine State, Tallahassee boasts a vibrant job market with incredible growth opportunities. Imagine being part of a community that blends southern charm with rich history, surrounded by the stunning beauty of Wakulla Springs State Park and the captivating performances at the Goodwood Museum and Gardens. Indulge in the area's renowned cuisine, explore the stunning exhibits at the LeMoyne Center for the Visual Arts, or cheer on the Florida State University Seminoles at Doak Campbell Stadium. Discover your next career move amidst the enchanting allure of Tallahassee!