Healthcare Consultant I

SGS Consulting; Lorida (FL); On-site; USD 52,000 - 70,000; Full time

Job summary

SGS Consulting seeks a Medicaid Case Manager to coordinate case management activities for LT CPA enrollers, providing care coordination and education. Travel up to 75% within the region, visiting members at home, assisted living facilities and nursing homes.

The role requires a Bachelor’s degree in social work or related field, with bilingual Spanish/English abilities and strong multitasking and communication skills to thrive in a fast-paced environment.

Qualifications

• Bachelor’s degree in social work or related field; nurses not required.

Responsibilities

• Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollers.
• Collaborates and informs the case management process to facilitate appropriate healthcare outcomes.
• Provides care coordination, support and education for members using care management tools.
• Evaluates Members and coordinates care plan activities, monitoring progress and conducting multidisciplinary reviews.

Skills

Bilingual Spanish/English

multitask

Effective communication

Care coordination

Education

Bachelor's degree in social work or related field

Job description

Job Responsibilities

• Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollers.
• Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members using 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

Skills

• Training will be conducted remotely via Microsoft Teams for approximately 4 weeks.
• Candidates will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes.
• Bilingual Spanish/English
• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
• Effective communication skills, both verbal and written.

Education/Experience

• Bachelor’s degree required - No nurses. Social work degree or related field.