Case Management Coordinator

Talentify; Homestead (FL); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health Benefits

Referral Program

Growth opportunities

Job summary

Talentify seeks a Case Management Coordinator in Homestead, FL to coordinate Medicaid Long Term Care and Comprehensive Program care. You will support members with care coordination, education, and resources to achieve optimal health outcomes.

The role requires case management experience and familiarity with Microsoft Office tools. Strong communication and multitasking abilities are essential in a fast-paced healthcare setting in Florida.

Qualifications

• Case management experience required.
• Long term care experience preferred.
• Microsoft Office including Excel competent.

Responsibilities

• Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
• Provides care coordination, support and education for members through the use of care management tools and resources.
• Evaluates members using care management tools and information/data review; coordinates and implements care plan activities.
• Identifies and escalates quality of care issues through established channels.
• Encourages member engagement and supports decisions through motivational interviewing and coaching.

Skills

Case management

Multitask

Effective communication

Discharge planning

Education

Bachelor's degree in Social Work or related field

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Our Client, a Retail Pharmacy company, is looking for a Case Management Coordinator for their Homestead/Florida City (33033, 33032) location.

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.

Requirements

• Case management experience required
• Long term care experience preferredMicrosoft Office including Excel competent

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.

Education

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

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities