Healthcare Consultant

3 weeks ago


Tallahassee FL USA, United States Umanist Staffing LLC Full time
Job Description

Job Summary:

Umanist Staffing LLC is seeking a highly motivated and detail-oriented Case Management Coordinator to join our team. As a Case Management Coordinator, you will be responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of our members and facilitate their overall wellness.

Key Responsibilities:

  • Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
  • Utilize critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members.
  • Conduct comprehensive evaluations of members using care management tools and information/data review.
  • Coordinate and implement assigned care plan activities and monitor care plan progress.
  • Identify and escalate quality of care issues through established channels.
  • Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
  • Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices.

Requirements:

  • Case management experience required.
  • Long term care experience preferred.
  • Microsoft Office, including Excel, competent.
  • Bachelor's degree required - No nurses. Social work degree or related field.


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