reputed company Consultant I - reputed company Miami area

Location: Work from Home. Candidates must reputed company in reputed company Miami, Aventura, Hialeah or Miramar. Training will be conducted remotely reputed company reputed company Teams. Candidate will travel approximately 75% of the time reputed company the region seeing members reputed company, in assisted living facilities and nursing homes Bilingual (English / Spanish) REQUIRED - must be Fluent speaking and writing. Mileage reimbursement is approved to and from member homes. Candidates must be located in reputed company Miami Dade county This role will require 50-75% travel for face-to-face reputed company with members in Miami Dade. Schedule is Monday-Friday, 8:00am-5:00pm, reputed company business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday -Friday working schedule, reputed company holidays, and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating reputed company case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and medically reputed company members. Develops a proactive course of reputed company to address issues presented to enhance the short and long-term reputed company as reputed company as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Duties Determines medical necessity/ appropriateness Facilitates reputed company reputed company Identifies and follow through with reputed company reputed company/ compliance opportunities . May also include identification of aberrance's and initiation of corrective reputed company Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives reputed company/reputed company colleagues at reputed company reputed company to reputed company decision making at most appropriate level Experience Case management experience required Long term care experience preferred reputed company Office including reputed company competent Position reputed company Location: Work from Home. Candidates must reputed company in reputed company Miami. Training will be conducted remotely reputed company reputed company Teams. Candidate will travel approximately 75% of the time reputed company the region seeing members reputed company, in assisted living facilities and nursing homes Education Bachelor's degree required-No reputed company, reputed company work degree or reputed company field. What days & hours will the person work in this position List training hours, if different. M-F: reputed company-5pm Remote About reputed company: reputed company Apply tot his job Apply To this Job