Healthcare Consultant I

Job Responsibilities:

• To promote autonomy through a Monday-Friday working schedule and flexibility as you coordinate the care of your members. The 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. The Case Management Coordinator will effectively manage a caseload that includes supportive and complex members. Develop 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 support due to members’ health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
• Case management experience required
• Long term care experience preferred
• Microsoft Office including Excel competent
• To promote autonomy through a Monday-Friday working schedule and flexibility as you coordinate the care of your members. The 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. The Case Management Coordinator will effectively manage a caseload that includes supportive and complex members. Develop 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 support due to members’ health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
• Case management experience required
• Long term care experience preferred
• Microsoft Office including Excel competent

Skills:

• Bilingual in Spanish/English Case Management Coordinator to join our Case Management team.
• Bilingual in Spanish/English Case Management Coordinator to join our Case Management team.

Education/Experience:

• Bachelor's degree required - No nurses.
• Social work degree or related field.
• Bachelor's degree required - No nurses.
• Social work degree or related field.