Clinical - Long term case Manager

Pyramid Consulting Healthcare; Florida; Remote; USD 36,000 - 40,000; Full time

Job summary

Pyramid Consulting Healthcare in Florida seeks a Clinical - Long term Case Manager for a 6+ month contract in Orange County with remote options. The role supports long-term care members, coordinating plans and services.

You will manage 50–70 cases, conduct comprehensive assessments, and coordinate discharge planning with providers. Travel up to 80% to client sites and telephonic check-ins are expected.

Qualifications

• 2+ years of field care management experience, preferably in long-term care.
• Valid Driver’s License required.
• Experience managing high caseloads in a fast-paced environment.
• Proficiency with electronic medical records (EMR).
• Strong technology skills to troubleshoot equipment issues in the field.
• Experience with discharge planning.
• Familiarity with TruCare software.
• Bilingual in Spanish preferred.

Responsibilities

• Manage a caseload of 50-70 members, focusing on long-term care needs.
• Conduct assessments with members, caregivers, and providers to develop tailored care plans.
• Monitor service delivery and follow up through in-person visits and telephonic contact.
• Authorize and coordinate referrals for services, ensuring no gaps in care.
• Collaborate with discharge planners, physicians, and other stakeholders to facilitate smooth transitions.
• Assist members in filing and resolving complaints and appeals.
• Travel 80% of the time to meet members in the field.

Skills

Care management

EMR proficiency

Discharge planning

Field travel coordination

Technical troubleshooting

Spanish language

Tools

TruCare

Job description

Immediate need for a talented Clinical - Long term case Manager. This is a 06+months contract opportunity with long-term potential and is located in Orange county FL (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-35005

Pay Range: $26.50 - $29.60/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Manage a caseload of 50-70 members, focusing on long-term care needs.
• Conduct assessments with members, caregivers, and providers to develop tailored care plans.
• Monitor service delivery and follow up through in-person visits and telephonic contact.
• Authorize and coordinate referrals for services, ensuring no gaps in care.
• Collaborate with discharge planners, physicians, and other stakeholders to facilitate smooth transitions.
• Assist members in filing and resolving complaints and appeals.
• Travel 80% of the time to meet members in the field.

Key Requirements and Technology Experience:

• 2+ years of field care management experience, preferably in long-term care.
• Valid Driver’s License required.
• Experience managing high caseloads in a fast-paced environment.
• Proficiency with electronic medical health records.
• Strong technology skills to troubleshoot equipment issues in the field.
• Experience with discharge planning.
• Familiarity with TruCare software.
• Bilingual in Spanish is preferred.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.