Sign upLog in

Social Worker - Case Manager - Hialeah, FL

Lancesoft

Tallahassee, FL

Apply
JOB DETAILS
SALARY
$30
LOCATION
Tallahassee, FL
POSTED
30+ days ago
Job ID: 26-37802
Job Title: ‘Healthcare Consultant I –Case Manager’
Position Type: Full-Time Contract Role
Location: Hialeah, FL - 33010, 33012, 33013, 33014, 33015, 33016, 33018
Work Type: 75% Travel + 25% Remote
Est. Pay Range: $30.00/Hour to $34.13/Hour on W2 (USD)
Schedule: Monday - Friday 8 am to 5 pm
 
**** Must put the city, state and zip code they reside in at top of resume. ****
 
Location: Field & Work from Home. Candidates must reside in Hialeah, FL - (33010, 33012, 33013, 33014, 33015, 33016, 33018). Training will be conducted remotely via Microsoft Teams for approximately 4-6 weeks. Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes.
 
Qualifications:
FLUENT Bilingual Spanish/English REQUIRED (both reading and speaking and writing)
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
 
We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team.
Our organization promotes autonomy through a Monday-Friday working schedule and flexibility as you coordinate the care of your members.
Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members.
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member’s health needs;including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
 
Duties:
  • Determines medical necessity/ appropriateness
  • Facilitates optimal outcomes
  • Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action
  • Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
  • Optimize total costs
  • Implementation and evaluation of policy based on usage and program directives
  • Educate/empower colleagues at all levels to enable decision making at most appropriate level
 
Experience:
  • Case Management experience required
  • Long term care experience preferred
  • Microsoft office including excel competent
 
Position Summary:
Location: Work from home. Candidates must reside in Hialeah - (33010, 33012, 33013, 33014, 33015, 33016, 33018). Training will be conducted remotely via Microsoft Teams for approximately 4-6 weeks.
Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes.
FLUENT in English / Spanish REQUIRED
 
Preferred Qualifications:
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment. Effective communication skills, both verbal and written
 
Education:
Bachelor's degree required- No nurses. Social work degree or related field
 

About the Company

L

Lancesoft

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2000
WEBSITE
http://www.lancesoft.com/

Resume Resources

Free Resume TemplatesFree Resume Builder