Healthcare Consultant I /Case Manager Job at US Tech Solutions, Miami, FL

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  • US Tech Solutions
  • Miami, FL

Job Description

Case Management Coordinator

The Case Management Coordinator is responsible for coordinating care and managing a caseload of members through telephonic and face-to-face interactions. The role focuses on evaluating medical needs, coordinating services, and supporting members to improve their overall health outcomes. The coordinator works closely with healthcare providers, community resources, and internal teams to ensure appropriate care planning and service delivery.

Key Responsibilities

  • Assess member needs telephonically and in person
  • Develop and implement care management plans
  • Coordinate care with Primary Care Providers (PCP) and specialists
  • Support prior authorizations and service coordination
  • Conduct medication reviews
  • Provide condition management education
  • Connect members with community resources
  • Monitor case progress and member outcomes
  • Identify quality improvement and compliance opportunities
  • Educate and empower members to promote health advocacy and adherence

Required Qualifications

  • Fluent Bilingual: Spanish & English (reading, writing, speaking)
  • Bachelor's degree required
  • Case Management experience required
  • Strong communication and organizational skills
  • Ability to multitask in a fast-paced environment
  • Proficient with Microsoft Office (Excel, Word, Outlook)

Preferred Experience

  • Long-term care experience
  • Experience working with medically complex populations
  • Familiarity with health plan or community-based care coordination

About US Tech Solutions

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.

US Tech Solutions

Job Tags

Work at office

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