Case Manager - Medicaid / Long Term Care (Bilingual)

Job Description

Job Description

A-Line Staffing is now hiring a Healthcare Consultant I (Case Management Coordinator) for a major Fortune 6 healthcare organization. This position offers long-term career growth and the opportunity to support members throughout Miami-Dade County.

Case Management Coordinator Compensation

• Competitive pay rate $34.13/hr

Case Management Coordinator Highlights

• Fully remote role with 50–75% travel for face-to-face member visits
• Full-time, 40 hours per week
• Monday–Friday, 8:00AM–5:00PM EST
• Training conducted remotely via Microsoft Teams
• Candidate must reside in Miami-Dade County
• Bilingual (English & Spanish) fluency required

Case Management Coordinator Responsibilities

• Conduct face-to-face and telephonic assessments with Medicaid Long Term Care/Comprehensive Program members
• Develop, implement, and monitor member care plans
• Coordinate services such as prior authorizations, PCP communication, skilled provider coordination, medication review, and community resources
• Utilize critical thinking, clinical judgment, and motivational interviewing to support member engagement
• Perform data review and documentation using care management tools
• Conduct multidisciplinary reviews to optimize member outcomes
• Identify and escalate quality-of-care concerns
• Provide education, coaching, and guidance to empower members in healthcare decision-making
• Travel to member homes, Assisted Living Facilities, and Skilled Nursing Facilities throughout Miami-Dade County

Case Management Coordinator Requirements

• Bachelor’s degree in Social Work or related field required
• Case Management experience required
• Long Term Care experience preferred
• Proficiency in Microsoft Office (Excel, Teams, Outlook)
• Strong written and verbal communication skills
• Ability to multitask and adapt in a fast-paced environment
• Ability to work independently and maintain organization
• Candidate must be fully bilingual (English & Spanish) — able to speak and write fluently
• Valid High School Diploma or GED (verifiable)
• This is NOT a nursing role — no RNs or LPNs

Preferred Qualifications

• Experience in Medicaid, LTC, or community-based case management
• Experience conducting home visits or field-based assessments
• Knowledge of community resources in Miami-Dade County

If you think this Healthcare Consultant I (Case Management Coordinator) position is a good fit for you, please apply!