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Fort Myers

    Case Manager-Medicare/Medicaid-Field Visits Required - Fort Myers, FL, United States - The Maxis Group

    Default job background
    Home Services / Social Care
    Description
    *Case Manager-Large Managed Care Company**Hybrid-work from home-telephonic and field visits to see members when needed**6-month contract with potential for extension and/or permanent hire**$40-$42 an hour plus mileage reimbursement**All equipment provided**Bilingual in Spanish preferred**Candidates can be a licensed nurse or social worker or have a bachelor degree in related field with case management experience with the Medicare/Medicaid population**Job Description Summary:
    • Responsible for health care management and coordination of Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors member's progress and services to ensure consistent cost effective care that complies with company policy and all state and federal regulations and guidelines.
    * _*CMs do not need to be licensed but must meet education requirements and have case management experience.*_

    *Frequently Asked Questions: * *Will the position be 100% remote*? They will work from home but they are required to do Face to Face visits in the members home/Assisted Living Facilities or Nursing Home Facilities
    * *Are there any specific location requirements*? I will need one position in Lee County
    * *Are there are time zone requirements?
    • Easter standard time
    * *What are the must have requirements?
    • BA in related fields like social work, health administration.
    * *What are the day to day responsibilities?
    • Get services that you are eligible to receive
    • Set up appointments every 90 days or as needed
    • Arrange for transportation if member needs it
    • Identify any gaps in care or health care needs
    • Access resources to help you with special health care needs and assist your caregivers with day-to-day stress
    • Coordinate moving from one setting to another. This can include being discharged from the hospital
    • Assess eligibility for long-term care services and support
    • Connect with community resources
    • Find services from additional resources, including community and social services programs like physical therapy or "Meals on Wheels"
    • Arrange for services with a primary care provider (PCP), family members, caregivers and any other identified provider
    * *Is there specific licensure is required in order to qualify for the role? no** *What is the desired work hours (i.e. 8am – 5pm)* 8:30-5:00pm


    Job Types:
    Full-time, Contract


    Pay:
    $ $44.00 per hour

    Expected hours: 40 per week


    Benefits:

    • Health insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Education:

    • Bachelor's (Required)

    Experience:

    • Case management: 2 years (Required)
    * working with Medicaid/Medicare population: 2 years (Required)



    Location:


    • Ft. Meyers, FL (Required)

    Willingness to travel:

    • 50% (Preferred)
    Work

    Location:

    Remote


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