NEW
A-Line Staffing Solutions is looking to hire a Remote Bilingual Healthcare Consultant (Case Manager) for a major pharmaceutical company in Bradenton, Plant City, Lake Wales, Avon Park, Sebring, Lake Placid, and Winter Haven, FL!
If you would like to apply for this position please contact Ryan Linska
586-473-6099
rlinska@alinestaffing.com
Job Details:
Shift: Monday - Friday 8:00am - 5:00pm
Fully remote (never coming onsite)
This employer requires all employees, temporary labor, consultants, and contractors to be fully vaccinated against COVID-19 by their start date (other date may be inserted if start date is not accurate), subject to approved medical or religious exemptions.
Duties:
• Coordinates case management activities for Medicaid Long Term
• Care/Comprehensive/DSNP 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.
If you would like to apply for this position please contact Ryan Linska
586-473-6099
rlinska@alinestaffing.com
Job Requirements:
Required:
** Candidates must reside in Hillsborough County, FL.
** Bilingual Spanish/English A MUST
** Case management experience a MUST
** Long term care experience preferred
** Healthcare experience preferred
** Microsoft Office including Excel competent
Education:
** Bachelor’s degree required - No Nurses. Social work degree / Social service field or related field.
Location/Region: Tampa, FL (33647)