Healthcare Consultant I

SGS Consulting
Florida

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, 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

Skills:

  • Training will be conducted remotely via Microsoft Teams for approximately 4 weeks.
  • Candidates will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes.
  • Bilingual Spanish/English
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
  • Effective communication skills, both verbal and written.

Education/Experience:

  • Bachelor’s degree required - No nurses. Social work degree or related field.
Posted 2025-11-14

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