Healthcare Consultant

3 weeks ago

Hialeah, Florida, United States US Tech Solutions Full time
Job Summary

We are seeking a skilled Healthcare Consultant to join our team at US Tech Solutions. As a key member of our staff augmentation firm, you will provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve healthcare program/operational efficiency.

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 by providing care coordination, support, and education for members through the use of care management tools and resources.
  • 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.
  • Conduct multidisciplinary reviews to achieve optimal outcomes.
  • 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.
  • Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
  • Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
  • Help members actively and knowledgeably participate with their provider in healthcare decision-making.
Requirements
  • Case management experience required.
  • Long-term care experience preferred.
  • Microsoft Office, including Excel, competent.
  • Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment.
  • Effective communication skills, both verbal and written.
  • Bachelor's degree required - no nurses. Social work degree or related field.
  • Minimum 1 year of relevant experience in case management.
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. We are an equal opportunity employer and welcome applications from qualified candidates.

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