Here are the job details for your review: Job Title: Travel Case ManagerJob Location- Hialeah, FLDuration: 3+ Months Contract (Potential for extension)Pay Rate: $34.11/HR on W2Shift: Monday - Friday: 8 am - 5 pm ESTThis role will require 50-75% travel for face-to-face visits with members in the Hialeah (Must be in 33010, 33012, 33013, 33014, 33015, 33016, 33018) area of Miami-Dade County, FL.
Mileage is reimbursable
DO NOT CROSS SUBMIT CANDIDATES FOR SOUTH FLORIDA POSTINGS.
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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 (33010, 33012, 33013, 33014, 33015, 33016, 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 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
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.
Ready to discover exciting job opportunities in the vibrant area surrounding Hialeah, Florida? Located in the heart of Miami-Dade County, Hialeah offers a unique blend of cultural diversity, culinary delights, and a thriving economy. Known for its historic landmarks like the Hialeah Park Racing & Casino and vibrant arts scene at the Milander Center for Arts and Entertainment, this area presents a dynamic backdrop for career growth. Explore job listings in this enchanting region, where you can enjoy the rich Cuban influence, explore the Amelia Earhart Park, and catch a game at the iconic Hard Rock Stadium. Embrace the charm of Hialeah and kickstart your career in this flourishing locale today!
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