'Case Manager - Healthcare Consultant' in Miami Dade/North Miami Dade County OR Hialeah, FL
Case Manager - Healthcare Consultant
Estimated Length of Assignment: 03+ Months with Possible Extension
Pay Range: $30.00/Hour to $34.13/Hour (W2, All Inclusive)
Work Type: 50‑75% travel for face‑to‑face visits with members and 25‑50% work from home
Schedule: Monday – Friday 8:00 AM – 5:00 PM
Location: Remote (work from home). Candidates must reside in the Miami, FL area (Miami, North Miami, Aventura, Hialeah, Miramar). Travel is required approximately 75% of the time within the region to visit members at home, assisted‑living facilities, and nursing homes.
Responsibilities
• Coordinate case‑management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
• Conduct comprehensive evaluation of members using care‑management tools and data reviews.
• Implement and monitor assigned care plan activities.
• Perform multidisciplinary reviews to achieve optimal outcomes.
• Identify and address quality of care issues through established channels.
• Use negotiation skills to secure appropriate options and services for members.
• Apply motivational interviewing to encourage member engagement and lifestyle changes.
• Coach members to make independent medical and healthy lifestyle decisions.
• Collaborate with providers in healthcare decision‑making and document care processes.
Qualifications
• Ability to multitask, prioritize, and adapt to a fast‑paced, changing environment.
• Strong verbal and written communication skills.
• Details oriented, highly organized, and tech‑savvy.
Preferred Experience
• Long‑term care experience (preferred).
• Bachelor’s degree required (Social Work or related field). No nursing degrees acceptable.
Travel & Work‑From‑Home Requirements
Approximately 75% travel within the Miami region; 25–50% work from home.
Mileage reimbursed for travel to member homes.
Benefits
None listed; please contact hiring manager for details.
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