Healthcare Consultant I - Tampa, FL - Field Case Manager

Job Description

Job Id: 26-33047 Position Type: Field/Remote Location: Tampa FL Est. Pay range: 33.00/hr.- 35.00/hr. W2 Schedule: Monday-Friday 8am-5pm. Location: Work from Home. Candidates must reside in East Tampa, FL. Candidate must be located in Tampa, FL, preferably East Tampa, FL (zip codes 33610, 33617, 33604, 33612). Put city, state and zip at the top of the resume Training will be conducted remotely via Microsoft Teams. Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes. REQUIRED FLUENT IN Spanish/English (reading, writing, speaking) Candidate must be located in Tampa, FL, preferably East Tampa, FL (zip codes 33610, 33617, 33604, 33612). Position summary:

• Location: Work from Home. Candidate must reside in Tampa area, preferably East Tampa, FL (zip codes 33610, 33617, 33604, 33612).
• Training will be conducted remotely via Microsoft Teams.
• Candidate will travel approximately 75% of the time within the region seeing
• Members at home, in assisted living facilities and nursing homes.

Preferred Qualifications:

• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Effective communication skills, both verbal and written

Duties:

• Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
• 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 through the use of 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 member to make ongoing independent medical and/or healthy lifestyle choices
• Helps member 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.

Experience:

• One year Case management experience A MUST
• Case Management Certificate ( Preferred)
• Long term care experience (Preferred)
• Microsoft Office including Excel competent
• Bilingual - FLUENT Spanish / English REQUIRED

Education:

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

Employee Benefits: At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:

• Four options of medical Insurance
• Dental and Vision Insurance
• 401k Contributions
• Critical Illness Insurance
• Voluntary Permanent Life Insurance
• Accident Insurance
• Other Employee Perks

About LanceSoft: LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch. EEO Employer LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time. Want to read more about LanceSoft? Click her to visit our website - www.Lancesoft.Com Meet Your Recruiter Pooja Gupta Apply tot his job Apply To this Job