Case Management Coordinator

A-Line Staffing is now hiring a Case Management Coordinator (Bilingual – Spanish/English) in Hialeah, FL. This position offers competitive pay and the opportunity to support members through care coordination in a community-based and remote setting.

Case Management Coordinator Compensation

• Pay Rate: $34.13/hour

Case Management Coordinator Highlights

• Coral Gables, FL area
• Assignment Type: Contract
• Work Setting: Remote with field travel (50–75%)

Schedule

• Monday – Friday: 8:00 AM – 5:00 PM

Additional Information

• 50–75% travel within Miami-Dade County (home visits, ALFs, SNFs)
• Mileage reimbursement available
• Training conducted remotely via Microsoft Teams
• Must be fluent in Spanish and English (speaking and writing)
• Non-nursing role

Case Management Coordinator Responsibilities

• Coordinate case management activities for Medicaid Long Term Care members
• Conduct telephonic and face-to-face member assessments
• Develop, implement, and monitor individualized care plans
• Collaborate with providers, caregivers, and community resources
• Support members with care coordination, education, and wellness planning
• Identify and escalate quality of care concerns
• Assist with prior authorizations, service coordination, and discharge planning
• Maintain accurate documentation and compliance with regulatory guidelines
• Encourage member engagement through coaching and motivational interviewing

Case Management Coordinator Requirements

• Bilingual (Fluent in Spanish & English – required)
• Bachelor’s degree in Social Work or related field
• Minimum 1+ year of experience in behavioral health or long-term care
• Ability to travel 50–75% locally within Miami-Dade County
• Strong communication, organization, and multitasking skills
• Basic to intermediate Microsoft Office proficiency

Preferred Qualifications

• Case management or discharge planning experience
• Managed care experience
• Experience working with medically complex populations

Benefits

• Benefits available to full-time employees after 90 days of employment
• 401(k) with company match available after 1 year of service

If you think this Case Management Coordinator position in Hialeah, FL is a good fit for you, please apply today.

• 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