Healthcare Consultant I -Mid Miami
Not Disclosed•Full-TimeOn-site
location_on1144, Circle Drive, Tallahassee, Leon County, Florida, 32301, United States
About the Role
We are seeking a self-motivated and detail-oriented Case Management Coordinator to join our Case Management team. This role is designed for individuals who value autonomy and flexibility while coordinating the care of members in the Mid Miami area. The position focuses on evaluating medical needs to facilitate overall wellness, managing a caseload of supportive and medically complex members, and developing proactive courses of action to enhance both short and long-term outcomes.
As a Case Management Coordinator, you will assess, plan, implement, and coordinate all case management activities. Your day will involve determining appropriate services and supports based on members' health needs, including prior authorizations, coordination with primary care physicians and skilled providers, medication reviews, and connecting members with community resources. You will utilize critical thinking to collaborate on care management processes, conduct comprehensive evaluations, and monitor care plan progress to achieve optimal healthcare outcomes.
Location & Work Model
This is a remote position with a requirement to reside in Miami-Dade County, specifically within the Mid Miami area (zip codes: 33174, 33144, 33134, 33165, 33175, 33184, 33182, 33172, 33126). Training will be conducted remotely via Microsoft Teams for approximately 4-6 weeks. Following training, the role requires approximately 75% travel within the region to visit members in their homes, assisted living facilities, and nursing homes. The standard schedule is Monday through Friday, 8:00 AM to 5:00 PM EST.
Hiring Process & Application Instructions
Candidates must include their city, state, and zip code at the top of their resume. Please note that candidates residing outside of the specified Mid Miami zip codes will not be considered for this posting.
Equal Opportunity
We are an equal opportunity employer committed to building a diverse and inclusive workforce.
Work location
Work model: On-site
1144, Circle Drive, Tallahassee, Leon County, Florida, 32301, United States
Tallahassee, Florida
Key Responsibilities
- check_circleCoordinate case management activities for Medicaid Long Term Care enrollees
- check_circleImplement assigned care plan activities and monitor progress
- check_circleDetermine appropriate services and supports based on member health needs
- check_circleUtilize motivational interviewing to promote member lifestyle changes
- check_circleProvide coaching to empower members in healthcare decision-making
- check_circleEscalate quality of care issues through established channels
- check_circleConduct comprehensive evaluations of members using care management tools
Requirements
- verifiedFLUENT Bilingual Spanish/English
- verifiedOne year Case management experience
- verifiedBachelor's degree required
- verifiedMicrosoft Office including Excel competent
- verifiedLocated in Mid Miami area (specific zip codes)
- verifiedCase Management Certificate (Preferred)
- verifiedLong term care experience (Preferred)
- verifiedManaged Care experience (Preferred)
- verifiedComputer proficiency in Microsoft Word, Excel, and Outlook required
- verifiedCase management and discharge planning experience (Preferred)
Nice to Have
Case Management Certificate, Long term care experience, Managed Care experience, Case management and discharge planning experience, Social work degree or related field
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Skills, education and keywords
Skills: Microsoft Teams, Microsoft Office, Excel, Microsoft Word, Outlook, Case Management, Discharge Planning, Managed Care, Long Term Care, Bilingual Spanish/english.
Education: Bachelor's degree required, Social work degree or related field preferred.
Frequently asked questions about Healthcare Consultant I -Mid Miami at Apidel Technologies
What does a Healthcare Consultant I -Mid Miami at Apidel Technologies do?expand_more
A Healthcare Consultant I -Mid Miami at Apidel Technologies is responsible for the following: Coordinate case management activities for Medicaid Long Term Care enrollees; Implement assigned care plan activities and monitor progress; Determine appropriate services and supports based on member health needs; and Utilize motivational interviewing to promote member lifestyle changes.
What are the requirements for this Healthcare Consultant I -Mid Miami role?expand_more
To qualify for the Healthcare Consultant I -Mid Miami at Apidel Technologies position, applicants should have: FLUENT Bilingual Spanish/English; One year Case management experience; Bachelor's degree required; Microsoft Office including Excel competent; Located in Mid Miami area (specific zip codes); and Case Management Certificate (Preferred).
Where is the Healthcare Consultant I -Mid Miami role at Apidel Technologies located?expand_more
Healthcare Consultant I -Mid Miami at Apidel Technologies is based in 1144, Circle Drive, Tallahassee, Leon County, Florida, 32301, United States. This is a on-site role.
Is this Healthcare Consultant I -Mid Miami job remote, hybrid, or on-site?expand_more
Apidel Technologies has listed this Healthcare Consultant I -Mid Miami role as on-site.
How much experience is required for this Healthcare Consultant I -Mid Miami role?expand_more
Healthcare Consultant I -Mid Miami at Apidel Technologies typically requires 1+ years of relevant experience at the mid level level.
What skills do you need for the Healthcare Consultant I -Mid Miami role at Apidel Technologies?expand_more
Key skills for Healthcare Consultant I -Mid Miami at Apidel Technologies include Microsoft Teams; Microsoft Office; Excel; Microsoft Word; Outlook; Case Management; Discharge Planning; and Managed Care.
What education is required for Healthcare Consultant I -Mid Miami at Apidel Technologies?expand_more
Educational requirements for this role: Bachelor's degree required, Social work degree or related field preferred.
What category does the Healthcare Consultant I -Mid Miami role belong to?expand_more
Healthcare Consultant I -Mid Miami at Apidel Technologies is part of the healthcare & nursing job category on Recrutus.