
Hybrid Healthcare Consultant (Bilingual)-{168295}
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Overview
Job Description
Job Title: Hybrid Healthcare Consultant (Bilingual)-{168295} Location: Miami-Dade County, FL
· (Must reside in ZIP codes: 33142, 33144, 33124, 33146)
Pay Rate: $34.13/hour (Mileage reimbursed) Schedule: Monday-Friday 8am-5pm
Overview
The Hybrid Healthcare Consultant/Case Management Coordinator offers a flexible, autonomous schedule while supporting members through both telephonic and face-to-face interactions. In this position, you will manage a diverse caseload, including medically complex and high-need members, with a strong focus on care coordination, wellness improvement, and long-term health outcomes.
Key Responsibilities
- Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members
- Conduct comprehensive assessments using care management tools and data review
- Develop, implement, and monitor individualized care plans
- Collaborate with PCPs, specialists, and multidisciplinary teams to ensure optimal care
- Facilitate services such as prior authorizations, medication reviews, and community resource support
- Identify and escalate quality of care concerns through appropriate channels
- Educate and empower members to make informed healthcare decisions
- Monitor, evaluate, and document care plans
- Conduct in-person visits (homes, assisted living, nursing facilities) and telephonic outreach
Required Skills & Qualifications
- Fluent in English and Spanish (REQUIRED)
- Must reside in one of the following ZIP codes: 33142, 33144, 33124, 33146
- Bachelor’s degree in Social Work or related field (NO NURSES)
- Case management & Long term care experience required
- Experience with Medicaid populations and long-term care programs
Position Details
- Work Model: Hybrid (Work from home + field visits)
- Travel: Approximately 75% local travel within Miami-Dade County
- Training: Remote via Microsoft Teams (1–2 weeks)
Job ID: 168295
Keywords: Case Management Coordinator, Healthcare Consultant, Care Coordination, Medicaid, Long Term Care, Bilingual Spanish, Social Work, Field Case Manager, Hybrid Healthcare, Member Engagement, Motivational Interviewing, Care Plans, Miami Dade FL, Community Resources, Prior Authorization, Care Transitions
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