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    Social Worker-Healthcare Consultant - Miami, United States - A-Line Staffing Solutions

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    Job Description

    Job Description

    A-Line Staffing is looking for multiple Remote Healthcare consults in the Miami-Dade County area. I have listed a Detailed Job Description along with Requirements for you to review. Must live in Miami-Dade county. Preferred be bilingual spanish.If you are interested please contact Brad Zidek at or by Email

    *****Must live in Miami-Dade county. Must be bilingual spanish*****

    Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
    Conducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress
    Conducts multidisciplinary review to achieve optimal outcomes
    Identifies and escalates quality of care issues through established channels
    Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
    Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
    Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
    Helps member actively and knowledgeably participate with their provider in healthcare decision-making Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

    Case management experience required
    Long term care experience preferred
    Microsoft Office including Excel competent

    Location: Work from Home. Candidates must reside in Miami Dade County, FL. Training will be conducted remotely via Microsoft Teams for approximately 4 weeks.
    Candidate will travel approximately 75% of the time within the region seeing
    Members at home, in assisted living facilities and nursing homes.
    Preferred Qualifications:
    Bilingual Spanish/English
    Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
    Effective communication skills, both verbal and written

    Bachelor's degree required - No nurses. Social work degree or related field. Miami Dade County.



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