Healthcare Consultant I Position Available In Miami-Dade, Florida
Tallo's Job Summary: The Healthcare Consultant I position in Miami Dade county, FL, offered by a Retail Pharmacy company, involves coordinating case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Responsibilities include conducting evaluations, implementing care plans, and identifying quality of care issues. Requirements include 1+ year of relevant experience and a Bachelor's degree in social work or a related field. The position offers health benefits, a referral program, and opportunities for growth and advancement.
Job Description
Healthcare Consultant I#25-59760
$0.00-$34.11 per hour
Miami Dade county, FL
All On-site Job Description
Our Client, a Retail Pharmacy company, is looking for a Healthcare Consultant I for their Miami Dade county, FL location.
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
Identifies and escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
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
Helps member actively and knowledgeably participate with their provider in healthcare decision-making
Monitoring, Evaluation and Documentation of Care:
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Requirements:
1 + year of experience in behavioral health or a long-term care setting
Bachelor’s degree in social work or related field required Why Should You Apply?
Health Benefits
Referral Program
Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
