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*Healthcare Consultant I - Hialeah

Conflux Systems

Healthcare Consultant I

Job Location: Field

Duration: 3 months (possibility to extension)

Pay Rate: $34.11/HR on W2

Shift Timings: Monday - Friday 8AM-5PM

Location: Candidates must reside in Hialeah, FL (33010, 33012, 33013, 33014, 33015, 33016, 33018)

Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks. Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes.

Preferred Qualifications:

  • Bilingual Spanish/English
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Effective communication skills, both verbal and written

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through a Monday-Friday working schedule and flexibility as you coordinate the care of your members. 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. 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. Case Management Coordinators 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.

Education: Bachelor's degree required - No nurses. Social work degree or related field.

Conflux Systems
Vacancy posted 4 days ago
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