Remote Bilingual Case Manager (Must live in North Miami, FL)

Job Description

Job Description

Job Title: Remote Bilingual Case Manager

Pay: $34.13 an hr | Bi-weekly

Job Type: Remote (MUST RESIDE IN NORTH MIAMI, FL)

• Candidate must be located in North Miami, In or around Zip Code 33012 and surrounding areas (33010,33013,33014,33015,33016)
• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• Telephonic and site visits.
  Mileage is reimbursed to and from member homes.
• Training will be conducted remotely via Microsoft Teams for approximately1-2 weeks.
  Candidate will travel approximately 75% of the time within the region seeing
  Members at home, in assisted living facilities and nursing homes.

Shift Options:

• Monday - Friday: 8 am - 5 pm EST

Remote Bilingual Case Manager Overview:

• 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

Remote Bilingual Case Manager Qualifications:

• Case management experience required
  Long term care experience preferred
  Microsoft Office including Excel competent
• Remote (MUST RESIDE IN NORTH MIAMI, FL)
• Candidate must be located in North Miami, In or around Zip Code 33012 and surrounding areas (33010,33013,33014,33015,33016)
  Training will be conducted remotely via Microsoft Teams for approximately1-2 weeks.
  Candidate will travel approximately 75% of the time within the region seeing
  Members at home, in assisted living facilities and nursing homes.
  Must be Bilingual Spanish/English
• Bachelor's degree required - No Nurses. Social Work degree or related field
  Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  Effective communication skills, both verbal and written

Remote Bilingual Case Manager Benefits:

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425