Healthcare Consultant I

Integrated Resources, IncTallahassee, FL

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Overview

Remote

On-site

Job Description

DO NOT CROSS SUBMIT CANDIDATES ON S. FLORIDA POSTINGS

Client max BR

Location: Work from Home. Candidates MUST reside in North Miami, Aventura, Hialeah or Miramar.Training will be conducted remotely via Microsoft Teams.Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes

FLUENT Bilingual (English / Spanish) REQUIRED - must be Fluent speaking and writing.

Mileage reimbursement is approved to and from member homes.

Candidates MUST reside in North Miami, Aventura, Hialeah or Miramar.

This role will require 50-75% travel for face-to-face visits with members in Miami Dade.Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday -Friday working schedule, paid holidays, 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 all 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 medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Position Summary:

Location: Work from Home. Candidates must reside in North Miami, Aventura, Hialeah or Miramar.Training will be conducted remotely via Microsoft Teams. Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes

Duties:

Determines medical necessity/ appropriatenessFacilitates optimal outcomesIdentifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective actionEducates/ empowers customers to ensure compliance, satisfaction and promote patient advocacyOptimize total costsImplementation and evaluation of policy based on usage and program directivesEducate/empower colleagues at all levels to enable decision making at most appropriate level

Experience:

Case management experience requiredLong term care experience preferredMicrosoft Office including Excel competent

Education:

Bachelor's degree required-No nurse, social work degree or related field.

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FAQs About Healthcare Consultant I Jobs at Integrated Resources, Inc

What is the work location for this position at Integrated Resources, Inc?

This job at Integrated Resources, Inc is located in Tallahassee, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Integrated Resources, Inc?

Employer has not shared pay details for this role.

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