Healthcare Consultant I

SGS_JOB_2202

Pharmacy
 Florida
Case Manager
Case coordinator
Case Management
Social Worker
Primary Care
Acute Care

Contract - 06+ Months

Location (mandatory): Miami Dade County, FL (Homestead, Cutler Bay Area) Candidate will travel approximately 75% of the time within the region by seeing Members at home, in assisted living facilities and nursing homes - Work from Home. Candidates must reside in Miami Dade County, FL (Homestead, Cutler Bay Area) 1. Case management experience required 2. Long term experience preferred 3. Microsoft Office including Excel competency

Job 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 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 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:

  • Work from Home. Candidates must reside in Miami Dade County, FL (Homestead, Cutler Bay Area)

Education/Experience:

  • Bachelor's degree required - No Nurses. Social Work degree or related field.

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