Responsibilities:

• Assess, plan, implement, and coordinate case management activities with members
• Evaluate medical needs of members and develop a proactive course of action to address issues
• Determine appropriate services and supports due to member's health needs, including prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, and community resources and supports

Requirements:

• Reside in Mid-Miami FL Area
• Bilingual, English and Spanish
• Willing and able to travel 50-75% of their time to meet members face-to-face in Miami Dade county and surrounding areas in FL
• 1+ year of experience in behavioral health or a long-term care setting

Preferred Qualifications:

• Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment
• Effective communication skills, both verbal and written
• Managed Care experience
• Computer proficiency in Microsoft Word, Excel, and Outlook required
• Case management and discharge planning experience

Education:

• Bachelor's degree required, preferably in social work or related field

Benefits:

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

Job Data by YubHub.

The successful candidate will be responsible for telephonically and/or face-to-face assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate their overall wellness.

Key responsibilities include:

• Assessing and planning case management activities for members
• Coordinating with primary care physicians, skilled providers, and community resources
• Conducting medication reviews and condition management
• Determining appropriate services and supports for members based on their health needs

Requirements:

• Bilingual in English and Spanish
• Reside in the Mid-Miami, FL area
• 1+ year of experience in behavioural health or a long-term care setting
• Computer proficiency in Microsoft Word, Excel, and Outlook
• Willingness to travel 50-75% of the time to meet members face-to-face in Miami-Dade County and surrounding areas

Preferred qualifications:

• Previous field case management and discharge planning experience
• Ability to multitask, prioritise, and adapt to a fast-paced changing environment
• Effective communication skills, both verbal and written
• Managed care experience

In return, you will receive a competitive salary ($21.10 - $40.90 per hour), full benefits, and a comprehensive benefits package designed to support your physical, emotional, and financial well-being.

The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Job Data by YubHub.