Healthcare Consultant I: Field Case Management POLK County

Job Responsibilities:

• 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 8am-5pm 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 supports. Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
• Candidate will travel approximately 75% of the time within the region seeing
• Members at home, in assisted living facilities and nursing homes.

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 nurses. Social work degree or related field preferred.