Healthcare Consultant - Case Manager Job at US Tech Solutions, Tallahassee, FL

NjhQQmdwZVlQTHljWjVCNGhXclRnenBmTVE9PQ==
  • US Tech Solutions
  • Tallahassee, FL

Job Description

Location: Osecola County, 34744 ( Remote + Travel)

Duration: 3 months contract

Note: Candidates need to travel in Osecola County and need to be fluent in spanish

Job Summary:

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. 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.

Job Description:

  • 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.

Experience:

  • Case management and long-term care experience
  • Fluent in Spanish

Skills:

  • Spanish
  • Case management
  • Microsoft Office including Excel competent

Education:

  • Bachelor's degree required - No nurses. Social work degree or related field.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Recruiter Details:

Name: Rashi

Email: [email protected]

Internal Id: 25-36352

Job Tags

Contract work, Temporary work,

Similar Jobs

Cognizant North America

Healthcare Product Consulting - NetworX Consultant (Remote) Job at Cognizant North America

Healthcare Product Consulting - NetworX Consultant (Remote)Job Summary : The NetworX Product Consultant is responsible for providing customers with application domain expertise related to TriZetto NetworX functionality. This role involves conducting requirements discovery... 

SURESTAFF LLC

Senior Recruiter - Light Industrial Job at SURESTAFF LLC

 ...of candidates through existing book of business. Preferred Qualifications of the Senior Recruiter: Minimum three years light industrial staffing industry experience Preferably a minimum of one-year supervisory/management experience Excellent communication:... 

Avita Pharmacy

Pharmacist (Per Diem) Job at Avita Pharmacy

Overview: The Per Diem Pharmacist appropriately dispenses prescribed drugs, handles incoming physician calls, logs data into the computer, performs Rx workflow processing, and conducts drug utilization reviews. This is a per diem, clinic-based opportunity located ...

Aramark

Cook - Offshore Job at Aramark

 ...ll be immersed in a world that goes beyond food preparation experimenting with different cuisines, flavors, and cooking styles. At...  ...with us! You will be working in a unique environment on an offshore oil and gas vessel. The position requires a work rotation schedule... 

84 Lumber Company

Truck Driver Helper Job at 84 Lumber Company

Overview: Associate is responsible for assisting in the delivery of material to customer job sites. Truck Driver Helpers must maintain a professional image and be courteous to all customers. They are responsible for building loads for deliveries and maintaining a safe...