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Healthcare Consultant I - Tampa, FL - Field Case Manager

LanceSoft Inc

Tallahassee, FL

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JOB DETAILS
SALARY
$33–$35 Per Hour
JOB TYPE
Full-time
SKILLS
Assisted Living, Case Management, Certified Case Manager (CCM), Coaching, Communication Skills, Community Support, Consulting, Corporate Policies, Course Development, Detail Oriented, Documentation, English Language, Establish Priorities, Genetics, Health Plan, Healthcare, Healthcare Providers, Interviewing Skills, Long-Term Care, Maintain Compliance, Medicaid, Medications, Member Orientation, Microsoft Excel, Microsoft Office, Microsoft Product Family, Multilingual, Multitasking, Needs Assessment, Negotiation Skills, Nursing, Nursing Home, Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Quality Management, Quality of Care, Regulatory Compliance, Social Work, Spanish Language, Willing to Travel, Work From Home, Writing Skills
LOCATION
Tallahassee, FL
POSTED
11 days ago
Job Id: 26-60470 Position Type: Field/Remote Location: Tampa FL Est. Pay range: 33.00/hr.- 35.00/hr. W2 Schedule: M-F 8-5pm Location: Work from Home. Candidates must reside in East Tampa, FL. Candidate must be located in Tampa, FL, preferably East Tampa, FL (within these zip codes 33610, 33617, 33604, 33612). Put city, state, and zip at the top of the resume Training will be conducted remotely via Microsoft Teams. Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes. Preferred Qualifications: Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment Effective communication skills, both verbal and written REQUIRED FLUENT IN Spanish/English (reading, writing, speaking) Candidate must be located in Tampa, FL, preferably East Tampa, FL (zip codes 33610, 33617, 33604, 33612). Position summary: 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 8am-5pm 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: Coordinates case management activities for Medicaid Long Term Care/Comprehensive 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. Experience: One year Case management experience A MUST Case Management Certificate ( Preferred) ** Long term care experience (Preferred) ***Microsoft Office including Excel competent ** Bilingual - FLUENT Spanish / English REQUIRED Education: Bachelor's degree required - No nurses. Social work degree or related field preferred. Employee Benefits: At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits: Four options of medical Insurance Dental and Vision Insurance 401k Contributions Critical Illness Insurance Voluntary Permanent Life Insurance Accident Insurance Other Employee Perks About LanceSoft: LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch. EEO Employer LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time. Want to read more about LanceSoft? Click her to visit our website - www.lancesoft.com

About the Company

L

LanceSoft Inc

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/

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