Bilingual Case Manager {168761}

A-Line Staffing is now hiring a Bilingual Case Management Coordinator (Spanish/English) in the Hialeah area. This position offers competitive pay and the opportunity to support Medicaid Long Term Care members through a combination of remote coordination and field-based care management.

Bilingual Case Management Coordinator Compensation

Pay Rate: Up to $34.13/hour

Schedule

Monday – Friday, 8:00 AM – 5:00 PM

Additional Information

• Remote position with field travel (approximately 50–75%)
• Candidates must reside in Miami-Dade County, FL, specifically in Hialeah (ZIP codes: 33010, 33012, 33013) and surrounding areas
• Fluent Spanish/English required (must be able to read, write, and speak fluently)
• Patient-facing role visiting members in homes, assisted living facilities, and skilled nursing facilities
• Training conducted remotely via Microsoft Teams (approximately 1–2 weeks)
• Mileage reimbursement available
• This is not a nursing role — nurse candidates will not be considered
• Opportunity to manage a structured caseload supporting long-term care members
• Must be able to multitask and adapt in a fast-paced environment

Bilingual Case Management Coordinator Responsibilities

• Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members
• Conduct telephonic and face-to-face member assessments
• Develop, implement, and monitor individualized care plans
• Collaborate with providers, primary care physicians, and interdisciplinary teams
• Facilitate prior authorizations and coordinate healthcare services
• Provide education related to condition management and medication adherence
• Connect members with community-based resources and support services
• Monitor care plan progress and identify barriers to care
• Escalate quality-of-care concerns through established channels
• Utilize motivational interviewing techniques to encourage member engagement
• Maintain accurate documentation in compliance with regulatory guidelines
• Support members in making informed healthcare decisions

Bilingual Case Management Coordinator Requirements

• Fluent in Spanish and English (Required — must be conversational in both languages)
• Must reside in Miami-Dade County, FL, preferably in Hialeah ZIP codes 33010, 33012, or 33013
• Bachelor’s degree required (Social Work or related field required — No Nursing degrees)
• Minimum 1+ year of experience in behavioral health or long-term care setting required
• Ability to travel approximately 50–75% locally to meet members
• Strong organizational and multitasking skills
• Proficiency with Microsoft Word, Excel, and Outlook
• Strong verbal and written communication skills
• Verifiable High School Diploma or GED required

Preferred Qualifications

• Managed Care experience
• Case management and discharge planning experience
• Long-term care experience
• Ability to adapt to a fast-paced, changing environment
• Strong critical thinking and problem-solving skills
• Experience coordinating care across multiple providers

• Integrate nursing case management with social work case management
• Identifying patient/family care needs
• Handle case intake and daily case management
• Provide telephonic medical case management strategy
• Serving in a case/care manager role
• Designated as the case manager for hospice patients
• Apply effective case management interventions
• Perform initial case management assessment to determine care coordination and discharge planning needs
• Evaluate outcomes of patient care
• Assuming nursing case management responsibilities for designated patients
• Identify members for case management
• Provide case management services to geriatrics patients
• Assume responsibility to coordinate patient care for assigned case load
• Manage the patient case from pre-admission through discharge
• Facilitating appropriate health care services throughout the continuum of care
• Identifying appropriate patients for care management
• Coordinate the overall interdisciplinary care plans for home health/hospice patients from admission to discharge
• Evaluate outcomes of care with the interdisciplinary team and medical case managers
• Providing patient case management services to assigned populations
• Performing ongoing telephonic case management and treatment planning