Job Description
Job Description
Here are the job details for your review:
Title: Healthcare Consultant
Location: Miami Dade County, FL
Schedule: Monday - Friday 8am-5pm
Duration: 3 months (with possibility of extension)
Pay Rate: $34.11/hr on W2
75 % travel / 25% work at home
Need a dedicated quite place to work at home with no distractions.
Location: Work from Home. Candidates must reside in Miami Dade County, FL.
Total of 3 positions, candidates should be located in zip codes as follows:
Pos #1 - 33174, 33172, 33125
Pos #2 – 33130, 33135
Pos # 3 - 33196, 33186, 33183, 33193, 33176, 33173, 33185, 33175
Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks.
Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes.
Position Summary
Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and clinical judgment to support and inform the case management process, ensuring appropriate healthcare outcomes through care coordination, member education, and support. This role involves frequent in-person visits to members at home, assisted living facilities, and nursing homes.
Key Responsibilities
- Care Coordination & Case Management
- Conduct comprehensive evaluations of members using care management tools and data review
- Develop, coordinate, and implement assigned care plan activities
- Monitor and document care plan progress
- Conduct multidisciplinary reviews to achieve optimal health outcomes
- Identify and escalate quality-of-care issues through established channels
- Member Engagement & Support
- Provide care coordination, education, and ongoing support to members
- Utilize motivational interviewing and influencing skills to drive member engagement
- Negotiate and secure appropriate services and healthcare options based on member needs and benefits
- Coach members to promote healthy lifestyle and behavioral changes
- Empower members to make informed medical and lifestyle decisions
- Support members in actively participating with providers in healthcare decision-making
- Compliance & Documentation
- Monitor, evaluate, and document care in accordance with regulatory and accreditation guidelines
- Adhere to company policies, procedures, and quality management processes
Required Qualifications
- Bachelor’s degree in Social Work or related field (No Nursing degrees)
- Case management experience required
- Bilingual Spanish/English (reading, writing, and speaking) – Required
- Strong communication skills (verbal and written)
- Ability to multitask, prioritize, and adapt in a fast-paced environment
- Proficient in Microsoft Office, including Excel