Case Management Coordinator

Randstad USA; Miami (FL); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical benefits

Prescription coverage

Dental

Vision

AD&D

Life insurance

Short-term disability

401K

Job summary

Randstad USA is seeking a self-motivated Case Management Coordinator in the Miami area to manage and coordinate care for members on a Monday–Friday schedule. The role involves telephonic and face-to-face assessments, planning and implementing care to enhance overall wellness, with a heavy travel component within Miami-Dade County.

Responsibilities include coordinating with PCP and providers, handling authorizations, reviewing medications, and linking to community supports.

Qualifications

• Bilingual Spanish/English fluent speaking and writing.
• Ability to multitask, prioritize and adapt in a fast-paced environment.
• Effective verbal and written communication skills.
• Candidate will travel approximately 75% of the time within Miami-Dade County.

Responsibilities

• Telephonically and/or face-to-face assessing, planning, implementing, and coordinating all case management activities with members to evaluate medical needs and support overall wellness.
• Manage a caseload including supportive and medically complex members and develop proactive action plans.
• Determine appropriate services and supports: Prior Authorizations, coordination with PCP and skilled providers, medication review, community resources and supports.

Skills

Bilingual Spanish/English

Multitasking

Communication skills

Travel readiness (75%)

Job description

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. 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.

This role will require 50-75% travel for face-to-face visits with members in 33142, 33147, 33127, 33125

Candidates must reside in 33142, 33147, 33127, 33125

• Bilingual (Spanish, English) FLUENT speaking and writing
• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
• Effective communication skills, both verbal and written
• Candidate will travel approximately 75% of the time within Miami-Dade County seeing members at their homes, in Assisted Living Facilities and Skilled Nursing Facilities.

Must be fluent in English & Spanish and be able to have a full conversation

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [e-mail].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including:

• medical
• prescription
• dental
• vision
• AD&D
• life insurance offerings
• short-term disability
• 401K plan

This posting is open for thirty (30) days.