Case Manager Position Available In Miami-Dade, Florida

Case Manager 3.6 3.6 out of 5 stars North Miami, FL 33161 • Hybrid work

Job Title:

Case Management Coordinator Location:

North Miami, FL (Remote/Field work)

Hours:

40hrs/

Week Pay Rate:

$35.00/HR to $37.00/HR.

Shift:

Monday-Friday, 8:00am-5:00pm.

Description:

Candidates must be located in North Miami Dade County. This role will require 60-75% Travel for face-to-face visits with members in North Miami, FL. We are seeking a self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. 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. The Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinators will determine appropriate services and support 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.

Responsibilities:

Coordinates Case Management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the Case Management Process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of Care Management Tools and resources. Conducts Comprehensive Evaluation of Members using Care Management Tools and Information/Data Review. Coordinates and implements assigned care plan activities and monitors care plan progress, Conducts multidisciplinary review to achieve optimal outcomes Utilizes influencing/ Motivational Interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Monitoring, Evaluation and Documentation of Care:

Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines.

Required Qualifications:

Bi-lingual, English, and Spanish must. Case Management Experience required Long Term Care Experience preferred Microsoft Office including Excel competent

Education:

Bachelor’s degree required – No Nurses. Social Work degree or related field.

Job Types:

Full-time, Contract Pay:

$35.00 – $37.00 per hour Expected hours: 40 per week

Benefits:

Health insurance

Schedule:

5×8 8 hour shift Monday to Friday Morning shift No weekends

Experience:

Case management: 3 years (Required) Social work: 2 years (Required) Behavioral health: 3 years (Required)

Language:

Spanish (Required)

Location:

North Miami, FL 33161 (Required) Ability to

Commute:

North Miami, FL 33161 (Required) Willingness to travel: 50% (Required)

Work Location:

Hybrid remote in North Miami, FL 33161