Job Description
Our Client, a Retail Pharmacy, is looking for a Case Management Coordinator for their Hialeah County location.
Responsibilities:
Requirements:
Why Should You Apply?
#mcb
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
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
- 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:
- Fluent in Spanish/English (reading, writing, speaking)
- One year Case management experience A MUST / Case Management Certificate is preferred
- Long term care experience (Preferred)
- Microsoft Office; strong in Excel
- Bachelor's degree required - Social work degree or related field preferred
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
#mcb
Numbers & Facts
| Location | Hialeah County, FL |
| Industry | Management Consulting Services |
| Salary | $34.13 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.
Skills
- Case Managementunmatched
- Certified Case Manager (CCM)unmatched
- Coachingunmatched
- Corporate Policiesunmatched
- Documentationunmatched
- English Languageunmatched
- Health Planunmatched
- Healthcareunmatched
- Healthcare Providersunmatched
- Long-Term Careunmatched
- Maintain Complianceunmatched
- Medicaidunmatched
- Member Orientationunmatched
- Microsoft Excelunmatched
- Microsoft Officeunmatched
- Multilingualunmatched
- Negotiation Skillsunmatched
- Organizational Skillsunmatched
- Pharmacyunmatched
- Quality Managementunmatched
- Quality of Careunmatched
- Regulatory Complianceunmatched
- Retailunmatched
- Social Workunmatched
- Spanish Languageunmatched
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.
Free resume templatesFree resume builder
Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.
Free resume builder