Healthcare Consultant I /Case Manager
US Tech Solutions, Inc.
Tallahassee, FL
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JOB DETAILS
SALARY
$35–$36 Per Hour
JOB TYPE
Temporary, Contractor, Full-time
SKILLS
Accreditation Standards, Case Management, Communication Skills, Community Support, Consulting, Customer Support/Service, Detail Oriented, Documentation, English Language, Health Plan, Healthcare, Long-Term Care, Medicaid, Medications, Microsoft Excel, Microsoft Office, Multilingual, Multitasking, Nursing, Organizational Skills, Presentation/Verbal Skills, Quality of Care, Regulations, Social Work, Spanish Language, Writing Skills
LOCATION
Tallahassee, FL
POSTED
15 days ago
Position Summary
We are seeking a self-motivated, detail-oriented, and tech-savvy Case Management Coordinator to support Medicaid Long Term Care/Comprehensive Program members. This role involves telephonic and face-to-face case management, focusing on assessing, planning, implementing, and coordinating care to improve member wellness and health outcomes.
The Case Management Coordinator will manage a caseload of medically complex and supportive care members, ensuring appropriate services, resources, and interventions are implemented to meet their healthcare needs.
- Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program enrollees
- Conduct comprehensive member assessments using care management tools
- Develop, implement, and monitor individualized care plans
- Coordinate services including:
- Prior Authorizations
- PCP and specialist coordination
- Medication review
- Condition management education
- Community resources and support services
- Facilitate multidisciplinary care reviews
- Identify and escalate quality-of-care concerns
- Utilize motivational interviewing and negotiation skills to engage members
- Educate and empower members to make informed healthcare decisions
- Ensure documentation and processes meet regulatory and accreditation standards
Required Qualifications
- Bachelor’s degree required (Social Work or related field)
- No Nursing profiles
- Case management experience required
- Strong critical thinking and organizational skills
- Ability to multitask in a fast-paced environment
- Proficiency in Microsoft Office (including Excel)
- Excellent verbal and written communication skills
Preferred Qualifications
- Long-term care experience
- Bilingual Spanish/English
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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