reputed company Consultant I - Miami

Telephonic and site visits. Mileage is reimbursed to and from member homes. Location: Work from Home. Candidates must reputed company in Miami, FL (33184, 33174, 33165, 33155, 33143, 33146). Training will be conducted remotely reputed company reputed company Teams for approximately 1-2 weeks. Candidate will travel approximately 75% of the time reputed company the region seeing Members at home, in assisted living facilities and nursing homes. 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 We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through a Monday-Friday working schedule and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating reputed company 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 reputed company members. Develops a proactive course of action to address issues presented to enhance the short and Long term reputed company as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will 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. Duties Coordinates case management activities for reputed company Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate reputed company reputed company 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 reputed company Conducts multidisciplinary review to reputed company reputed company reputed company 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 reputed company needs Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health Provides coaching, information and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices Helps member actively and knowledgeably participate with their provider in reputed company 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 Experience Case management experience required Long term care experience preferred reputed company Office including reputed company competent Position Summary Location: Work from Home. Candidates must reputed company in Miami, FL (33184, 33174, 33165, 33155, 33143, 33146). Training will be conducted remotely reputed company reputed company Teams for approximately 1-2 weeks. Candidate will travel approximately 75% of the time reputed company the region seeing Members at home, in assisted living facilities and nursing homes. 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 Bachelor's degree required - No Nurses. reputed company Work degree or reputed company field What days & hours will the person work in this position List training hours, if different. Monday - Friday: 8 am - 5 pm EST Remote About the Company: reputed company Apply tot his job Apply To this Job