Bilingual Analyst coordinating case management for members in Miami Dade. Responsible for evaluating health needs and managing a caseload for overall wellness.
Responsibilities
Candidates must be located in Miami Dade county, in the Coral Gables Area.
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.
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.
Effectively manage a caseload that includes supportive and medically complex members.
Develop 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.
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.
Requirements
Must be Bilingual; Fluent both in English and Spanish.
Must reside in Coral Gables area in Florida
Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL.
1+ year of experience in behavioral health or a long-term care setting
Computer proficiency in Microsoft Word, Excel, and Outlook required
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs including wellness screenings, tobacco cessation and weight management programs
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