Healthcare Consultant – Case Manager

US Tech Solutions; Miami (FL); On-site; USD 45,460 - 49,593; Full time

Job summary

An established industry player is looking for a detail-oriented Case Management Coordinator to enhance member wellness through effective care coordination. This role involves assessing medical needs, implementing care plans, and ensuring optimal healthcare outcomes for members. The ideal candidate will possess strong critical thinking and negotiation skills, be fluent in Spanish, and have a background in case management. Join a dynamic team that values your contributions and offers a supportive work environment with competitive salary and benefits. This is a fantastic opportunity for those passionate about making a difference in healthcare.

Qualifications

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

Responsibilities

• Coordinate and implement care plans while monitoring progress.
• Conduct comprehensive evaluations and manage caseload effectively.

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

$33.00/hr - $36.00/hr

Duration: 3 months contract

Note:

• Candidates need to travel in Miami Dade county
• Fluent in Spanish

Job Summary:

We are seeking a 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 their medical needs and facilitate 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 based on the 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 evaluations of members using care management tools and information/data review. Coordinates and implements assigned care plan activities and monitors care plan progress. Conducts multidisciplinary reviews 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 levels of health.
• Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps members 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, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Recruiter Details:

Name: Rashi

Internal ID: 25-32956

Seniority level

Mid-Senior level

Employment type

Contract

Job function

Health Care Provider

Industries

Hospitals and Health Care