Role overview

Qualifications

Fluent Bilingual Spanish/English
Verifyable High School Diploma or GED Required
Case management experience required
Bachelor's degree required - No Nurses

Responsibilities

Assessing, planning, implementing, and coordinating case management activities
Managing a caseload including supportive and medically complex members
Coordinating Medicaid Long Term Care/Comprehensive Program enrollees
Utilizing case management and quality management processes

Key facts

Remote from: Florida (USA)
Full time
Case Manager
English, Spanish

Hard skills

Transitional Bilingual Education Forward Planning Drug Utilization Review Care Coordination Long-Term Care

Other skills

Critical Thinking
Negotiation
Communication
Time Management
Microsoft Office
Multitasking
Teamwork
Detail Oriented
Technical Acumen
Decision Making

About the company

ICONMA

Human Resources, Staffing & Recruiting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge

IndustryHuman Resources, Staffing & Recruiting

Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Our client, is a Retail Pharmacy company, is looking for a Case Management Coordinator for their Cutler Bay County, FL location.

Responsibilities:

Fluent Bilingual Spanish/English required (both reading and speaking and writing)
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
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.
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.

Requirements:

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team.
Verifyable High School Diploma or GED Required
Case management experience required
Long term care experience preferred
Microsoft Office including Excel competent
Members at home, in assisted living facilities and nursing homes.
Bachelor's degree required - No Nurses.
Social Work degree or related field.

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities