reputed company Consultant I - Melbourne or Palm Bay, FL area

reputed company Consultant I - Melbourne or Palm Bay, FL area reputed company_JOB_3030 Business Support Florida reputed company Consultant case Management Prior Authorization reputed company Long Term Care Bilingual Spanish Contract - 06+ Months Extendable Location : Work from Home. Candidates must reputed company in Brevard County, FL. (Melbourne/Palm Bay) Shift: Mon - Fri (reputed company to 5pm) EST Dress reputed company: Business Casual We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Bilingual in Spanish Case Management Coordinator to join our Case Management team. Specifically, Brevard County (Melbourne/Palm Bay) Our organization promotes autonomy through a Monday-Friday working schedule 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 reputed company members. reputed company 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 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 support. Job Responsibilities: Coordinates case management activities for reputed company Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate reputed company reputed company 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 reputed company Conducts multidisciplinary review to reputed company reputed company reputed company Identifies and escalates reputed company of care issues through established channels Utilizes negotiation skills to secure appropriate reputed company and services necessary to meet the member's benefits and/or reputed company needs Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health Provides coaching, information and support to reputed company the members to reputed company ongoing independent medical and/or healthy lifestyle choices Help members reputed company and knowledgeably participate with their provider in reputed company decision-making Monitoring, Evaluation and Documentation of Care: Utilizes case management and reputed company management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Skills: Bilingual Spanish/English (not required but preferred) Case management experience required Long term care experience preferred reputed company Office including reputed company competent Education/Experience: Bachelor's degree required - No nurses. reputed company work degree or reputed company field. Apply tot his job Apply To this Job