Healthcare Case Management Coordinator

VIVA USA Inc; Town of Florida (NY); Presencial; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

VIVA USA Inc. seeks a bilingual (Spanish/English) case manager to coordinate Medicaid Long Term Care and Comprehensive Program enrollees, providing care coordination, education, and support to members. You will conduct comprehensive evaluations, monitor care plans, and collaborate with providers to promote optimal health outcomes.

Ability to multitask, adapt to change, and communicate clearly is essential. This full-time role requires 50-75% travel for face-to-face member visits; standard hours

Formación

• Case management experience required.
• Long Term Care experience preferred.
• Microsoft Office experience required: Excel, Teams, Outlook.

Responsabilidades

• Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
• Evaluates members using care management tools and data to inform care plans.
• Monitors care plan progress and escalates quality of care issues.
• Collaborates with providers, educates members, and promotes healthy lifestyle choices.
• Uses negotiation and motivational interviewing to engage members.

Conocimientos

Bilingual Spanish/English

Microsoft Excel

Microsoft Teams

Microsoft Outlook

Educación

Bachelor's degree in Social Work or related field

Herramientas

Microsoft Excel

Microsoft Teams

Microsoft Outlook

Descripción del empleo

This role will require 50-75% travel for face-to-face visits with members

Position Summary

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.

Duties

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.

Experience

Case Management experience required. Long Term Care experience preferred. Microsoft Office experience required: Excel, Teams, Outlook.

Education

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

Notes

Monday - Friday / 8:00 AM - 5:00 PM

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status