CTC
Location / Travel
Location:
Field work. Candidates must reside in Miami Dade County, FL (Doral, Coral Gables).
Training:
Training will be conducted remotely via Microsoft Teams for approximately 4-6 weeks.
Travel:
Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes.
Summary We are seeking a self‑motivated, energetic, detail‑oriented, highly organized, tech‑savvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through a Monday‑Friday working schedule and flexibility as you coordinate the care of your members. The 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. The coordinator will effectively manage a caseload that includes supportive and medically complex members and develop a proactive course of action to address issues presented to enhance short‑ and long‑term outcomes and opportunities to enhance overall wellness through integration. 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.
Duties
Utilize critical thinking and judgment to collaborate and inform the case management process, facilitating appropriate healthcare outcomes for members by providing care coordination, support, and education for members through the use of care management tools and resources.
Conduct comprehensive evaluation of members using care management tools and information/data review.
Coordinate and implement assigned care plan activities and monitor care plan progress.
Conduct multidisciplinary review to achieve optimal outcomes, identifying and escalating quality of care issues through established channels.
Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Help members actively and knowledgeably participate with their provider in healthcare decision‑making.
Monitor, evaluate, and document care: utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Experience
Long‑term care experience preferred.
Preferred Qualifications
Bilingual Spanish/English (reading, speaking, writing).
Ability to multitask, prioritize, and effectively adapt to a fast–paced changing environment.
Effective communication skills, both verbal and written.
Education Bachelor’s degree required
– No Nurses. Social Work degree or related field.
Requirements Onsite Requirements:
Fully remote (never coming onsite).
Please reach out to
Gayathri.Nareshkumar@ctcworld.com
#J-18808-Ljbffr
Field work. Candidates must reside in Miami Dade County, FL (Doral, Coral Gables).
Training:
Training will be conducted remotely via Microsoft Teams for approximately 4-6 weeks.
Travel:
Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes.
Summary We are seeking a self‑motivated, energetic, detail‑oriented, highly organized, tech‑savvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through a Monday‑Friday working schedule and flexibility as you coordinate the care of your members. The 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. The coordinator will effectively manage a caseload that includes supportive and medically complex members and develop a proactive course of action to address issues presented to enhance short‑ and long‑term outcomes and opportunities to enhance overall wellness through integration. 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.
Duties
Utilize critical thinking and judgment to collaborate and inform the case management process, facilitating appropriate healthcare outcomes for members by providing care coordination, support, and education for members through the use of care management tools and resources.
Conduct comprehensive evaluation of members using care management tools and information/data review.
Coordinate and implement assigned care plan activities and monitor care plan progress.
Conduct multidisciplinary review to achieve optimal outcomes, identifying and escalating quality of care issues through established channels.
Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Help members actively and knowledgeably participate with their provider in healthcare decision‑making.
Monitor, evaluate, and document care: utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Experience
Long‑term care experience preferred.
Preferred Qualifications
Bilingual Spanish/English (reading, speaking, writing).
Ability to multitask, prioritize, and effectively adapt to a fast–paced changing environment.
Effective communication skills, both verbal and written.
Education Bachelor’s degree required
– No Nurses. Social Work degree or related field.
Requirements Onsite Requirements:
Fully remote (never coming onsite).
Please reach out to
Gayathri.Nareshkumar@ctcworld.com
#J-18808-Ljbffr