Healthcare Consultant I - North Miami area

Job Responsibilities:

• 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. Our organization promotes autonomy through a Monday -Friday working schedule, paid holidays, 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 complex members. Develop 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 support due to members’ health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and support.

Skills:

• One year Case management experience A MUST / Case Management Certificate (Preferred)
• ** Long term care experience (Preferred)
• ***Microsoft Office including Excel competent
• ** Bilingual - Spanish / English HIGHLY PREFERRED

Education/Experience:

• Bachelor's degree required-No nurse, social work degree or related field.