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Hiring for Healthcare Consultant I - FLA - (West Miami, Doral)

Lancesoft

Tallahassee, FL

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JOB DETAILS
SALARY
$34.13
SKILLS
Case Management, Coaching, Communication Skills, Community Support, Consulting, Course Development, Detail Oriented, Documentation, Employee Benefits, Establish Priorities, Health Plan, Healthcare, Healthcare Providers, Long-Term Care, Medicaid, Medications, Member Orientation, Microsoft Excel, Microsoft Office, Multitasking, Needs Assessment, Negotiation Skills, Nursing, Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Quality of Care, Social Work, Writing Skills
LOCATION
Tallahassee, FL
POSTED
1 day ago
Job ID: 26-67936

Position Type: Full-time
 
Location: West Miami, Doral

Work Type: Field
 
Est. Pay Range: $34.13/hr. To $37.41/hr. All-inclusive on W2

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 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.
 
Experience:
  • Case management experience required
  • Long term care experience preferred
  • Microsoft Office including Excel competent
 
Preferred Qualifications:
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Effective communication skills, both verbal and written
 
Education:
  • Bachelor's degree required- No nurses.
  • Social Work degree or related field

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
 
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.
 

About the Company

L

Lancesoft

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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