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Job Requirements of Healthcare Consultant I:
-
Employment Type:
Contractor
-
Location:
Tallahassee, FL (Onsite)
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Healthcare Consultant I
Careers Integrated Resources Inc
Tallahassee, FL (Onsite)
Contractor
Job Title: Healthcare Consultant I
Location: Tallahassee, FL 32301
Duration: 3 Months+ (Possibilities of Extension)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM
Travel: 50–75% for face-to-face member visits; mileage reimbursed (home → member → home)
Bilingual Requirement: Spanish/English (fluent reading and writing)
Position Summary:
The Case Management Coordinator provides comprehensive healthcare management services to support member wellness, coordinate care, manage healthcare costs, and improve program efficiency. The role involves telephonic and in-person case management, with a focus on Medicaid Long Term Care/Comprehensive Program enrollees, including supportive and medically complex members.
Key Responsibilities:
Required Qualifications:
Preferred Qualifications:
Skills & Abilities:
Location: Tallahassee, FL 32301
Duration: 3 Months+ (Possibilities of Extension)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM
Travel: 50–75% for face-to-face member visits; mileage reimbursed (home → member → home)
Bilingual Requirement: Spanish/English (fluent reading and writing)
Position Summary:
The Case Management Coordinator provides comprehensive healthcare management services to support member wellness, coordinate care, manage healthcare costs, and improve program efficiency. The role involves telephonic and in-person case management, with a focus on Medicaid Long Term Care/Comprehensive Program enrollees, including supportive and medically complex members.
Key Responsibilities:
- Conduct comprehensive member evaluations using care management tools and data.
- Develop, implement, and monitor care plans, including prior authorizations, medication reviews, and coordination with PCPs and skilled providers.
- Facilitate member engagement, coaching, and education to empower independent healthcare decisions.
- Conduct multidisciplinary reviews to ensure optimal outcomes.
- Identify and escalate quality of care issues through established channels.
- Apply negotiation, influencing, and motivational interviewing skills to ensure member adherence and engagement.
- Maintain documentation and compliance with regulatory and company policies.
Required Qualifications:
- Bachelor’s degree (Social Work or related field preferred)
- 1+ year case management experience
- Bilingual Spanish/English (reading and writing fluently)
- Proficiency in Microsoft Word, Excel, and Outlook
- Located in Mid Miami Area
Preferred Qualifications:
- Case Management Certificate
- Long-term care experience
- Managed Care experience
- Ability to multitask, prioritize, and adapt in a fast-paced environment
- Strong verbal and written communication skills
Skills & Abilities:
- Self-motivated, detail-oriented, highly organized, and tech-savvy
- Strong critical thinking and judgment skills
- Ability to travel for member site visits as required
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