Field Case Management Coordinator
Job Responsibilities:
- Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollers.
- 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 using 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 members to make ongoing independent medical and/or healthy lifestyle choices
- Helps members 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.
Skills:
- One year Case management experience A MUST / Case Management Certificate (Preferred)
- ** Long term care experience (Preferred)
- ***Microsoft Office including Excel competent
- ** Bilingual - Spanish / English (required)
Education/Experience:
- Bachelor's degree required - No nurses. Social work degree or related field preferred.
Recommended Jobs
Driver CDL A
Job Description Job Description pick up & delivery flowers
Dishwasher
We are a lifestyle brand! We are on a mission to provide the world with simple, wholesome food and beverage items that fit today's lifestyle, offering an intimate, yet fast and consistent, experienc…
Phlebotomist/Medical Assistant
Job Description Job Description We are looking for a skilled and experienced Medical Assistant/Phlebotomist to join our healthcare team. In this position, you will perform a combination of vari…
Social Media and Digital Marketing Coordinator
At I Saw The Sign, we're more than just a sign company. We're storytellers. Our dynamic signage solutions, from eye-catching storefront displays to sleek vehicle wraps, we help businesses communicat…
Clinical Nurse Specialist at Cape Coral Hospital
Location: Cape Coral Hospital -636 Del Prado BlvdCape Coral FL 33990 Department: ICU Work Type: Full Time Shift: Shift 1 Minimum to Midpoint Pay Rate: $36.79 - $49.67 / hour Summary …
Traffic Management Specialist
Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborativ…
Dishwasher
Woodfield Country Club in Boca Raton is seeking Dishwashers/Stewards to maintain the kitchen work areas and restaurant equipment as well as utensils in clean and orderly condition. Stewards are resp…
Associate, Sr. Newbuild Strategy
Journey with us! Combine your career goals and sense of adventure by joining our exciting team of employees. Royal Caribbean Group is pleased to offer a competitive compensation & benefits package, …
Home Health - RN/LPN
DeSoto Memorial Hospital has openings for Home Health Registered Nurses & Licensed Practical Nurses . Positions available Full Time & PRN. Full Time position is eligible for our robust Benefits …
LAW ENFORCEMENT INVESTIGATOR II - 41001296 1
LAW ENFORCEMENT INVESTIGATOR II - 41001296 1 Date: Nov 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website . …