Healthcare Case Manager

5 hours ago


Miami, Florida, United States US Tech Solutions Full time

{"Job Title": "Healthcare Case Manager", "Job Summary": "We are seeking a skilled Healthcare Case Manager to join our team at US Tech Solutions. As a Healthcare Case Manager, you will be responsible for providing comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve healthcare program/operational efficiency involving clinical issues.

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
* 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:

* Case management experience required
* Long term care experience preferred
* Microsoft Office including Excel competent

Work Environment:

* Location: Work from Home. Candidates must reside in Miami-Dade County, FL.
* Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks.
* Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Equal Opportunity Employer:

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Contact Information:

Name: Parth
Email: p.sahni@ustechsolutionsinc.com
Internal Id: 24-11274
"}


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