Healthcare Consultant – Case Manager

US Tech Solutions; Florida; On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is on the lookout for a self-motivated and detail-oriented Case Management Coordinator to join their dynamic team. This role is pivotal in assessing and coordinating case management activities, ensuring members receive the necessary support for their medical needs. With a focus on enhancing overall wellness, the coordinator will engage with members, utilizing critical thinking and negotiation skills to facilitate optimal healthcare outcomes. If you're passionate about making a difference in the lives of others and possess a strong background in case management, this is the perfect opportunity for you to thrive in a supportive and collaborative environment.

Qualifications

• Experience in case management and long-term care is required.
• Fluency in Spanish is essential for effective communication.

Responsibilities

• Assess and coordinate case management activities for members.
• Utilize critical thinking to achieve optimal healthcare outcomes.
• Engage members in their healthcare decision-making process.

Skills

Spanish

Case management

Education

Bachelor's degree in Social Work or related field

Job description

This range is provided by US Tech Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$31.00/hr - $35.00/hr

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. The 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. The 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. The Case Management Coordinator 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:

• 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.

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 www.ustechsolutions.com.

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:

Internal Id: 25-33815

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care