Healthcare Consultant I

1 week ago


Tallahassee, Florida, United States Conflux Systems Full time
Job Summary

Conflux Systems is seeking a skilled Healthcare Consultant I - Case Manager to join our team. As a key member of our healthcare team, you will be responsible for coordinating case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.

Key Responsibilities
  • Collaborate with healthcare providers and members to develop and implement comprehensive care plans.
  • Conduct thorough assessments of members' medical needs and develop strategies to address complex health issues.
  • Coordinate with healthcare providers to secure necessary services and supports for members.
  • Monitor and evaluate the effectiveness of care plans and make adjustments as needed.
  • Provide education and support to members to empower them to make informed healthcare decisions.
  • Utilize negotiation skills to secure appropriate options and services necessary to meet members' benefits and/or healthcare needs.
  • Develop and maintain relationships with healthcare providers and community resources to ensure seamless care coordination.
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.
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.


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