Case Management Coordinator {167499}

A-Line Staffing is now hiring Case Management Coordinator – Brandon, FL . This position is with a Fortune 6 company and offers career growth potential.

Case Management Coordinator Compensation

Competitive pay rate up to $34.13 per hour

Case Management Coordinator Highlights

• Monday–Friday, 8:00am–5:00pm
• Remote/work from home position
• Approximately 75% travel within the region (home visits, assisted living facilities, nursing homes)
• Training conducted remotely via Microsoft Teams

Case Management Coordinator Responsibilities

• Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members
• Conduct telephonic and face-to-face comprehensive member assessments
• Develop, implement, and monitor individualized care plans
• Manage a caseload of supportive and medically complex members
• Coordinate with PCPs, specialists, and skilled providers
• Assist with prior authorizations, medication review, and condition management
• Connect members with community resources and supports
• Identify and escalate quality-of-care concerns
• Utilize motivational interviewing and negotiation skills to promote member engagement
• Ensure documentation complies with regulatory and accreditation standards

Case Management Coordinator Requirements

• Bachelor’s degree required (Social Work or related field) – No nurses
• Case management experience required
• Microsoft Office proficiency, including Excel
• Verifiable High School Diploma or GED required
• Ability to multitask and adapt in a fast-paced environment
• Strong verbal and written communication skills
• Willing and able to travel approximately 75% locally

Preferred Qualifications

• Long term care experience
• Bilingual Spanish/English

If you think this Case Management Coordinator position is a good fit for you, please reach out!

• Maintain case management policies and procedures
• Completed case files for archiving
• Conduct weekly Medicare/case management meetings to review plan of care
• Overseeing appropriateness and quality of patient care through case review
• Demonstrate knowledge and skills necessary to provide case management services
• Bring nursing background, transplant expertise, and case management experience to role where will provide clinical case management and care coordination to best meet the member
• Providing the utmost in care
• Provide weekly supervision sessions with the care management staff
• Recognizing the most successful and innovative care management programs working to improve health care
• Work directly with members' primary care physician for basic case management need related to the specific medical conditions
• Think creatively to prevent and mitigate case delays
• Ensure no gaps in care
• Coordinate care for all members experiencing a care transition from one level of care back to residence
• Utilizing electronic medical management systems and delegation of appropriate task to case managers
• Coordinate care for members with intensive needs
• Identify individuals at risk and increase the percentage of membership in case management
• Prepare various case mix reports and special projects as requested by senior management
• Provide statistical case reviews and generate utilization reports
• Ensure that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost
• Identified in the members care plan