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*Healthcare Consultant I - Hialeah

Conflux Systems, Inc.

Overview Job Title: 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 Job Description: Telephonic and site visits. Mileage is reimbursed to and from member homes. Location: Candidates must reside in Hialeah, FL (33010, 33012, 33013, 33014, 33015, 33016, 33018) Training: Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks. Travel: Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes. Responsibilities 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. 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. 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 Education Education: Bachelor’s degree required - No nurses. Social work degree or related field. #J-18808-Ljbffr Conflux Systems, Inc.

Vacancy posted 12 hours ago
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