'Case Manager - Healthcare Consultant' in Miami Dade/North Miami Dade County OR Hialeah, FL

Remote Full-time
Case Manager - Healthcare Consultant Estimated Length of Assignment: 03+ Months with Possible Extension Pay Range: $30.00/Hour to $34.13/Hour (W2, All Inclusive) Work Type: 50‑75% travel for face‑to‑face visits with members and 25‑50% work from home Schedule: Monday – Friday 8:00 AM – 5:00 PM Location: Remote (work from home). Candidates must reside in the Miami, FL area (Miami, North Miami, Aventura, Hialeah, Miramar). Travel is required approximately 75% of the time within the region to visit members at home, assisted‑living facilities, and nursing homes. Responsibilities • Coordinate case‑management activities for Medicaid Long Term Care/Comprehensive Program enrollees. • Conduct comprehensive evaluation of members using care‑management tools and data reviews. • Implement and monitor assigned care plan activities. • Perform multidisciplinary reviews to achieve optimal outcomes. • Identify and address quality of care issues through established channels. • Use negotiation skills to secure appropriate options and services for members. • Apply motivational interviewing to encourage member engagement and lifestyle changes. • Coach members to make independent medical and healthy lifestyle decisions. • Collaborate with providers in healthcare decision‑making and document care processes. Qualifications • Ability to multitask, prioritize, and adapt to a fast‑paced, changing environment. • Strong verbal and written communication skills. • Details oriented, highly organized, and tech‑savvy. Preferred Experience • Long‑term care experience (preferred). • Bachelor’s degree required (Social Work or related field). No nursing degrees acceptable. Travel & Work‑From‑Home Requirements Approximately 75% travel within the Miami region; 25–50% work from home. Mileage reimbursed for travel to member homes. Benefits None listed; please contact hiring manager for details. Apply tot his job
Apply Now

Similar Opportunities

Medicaid Subject Matter Expert / Healthcare Data Analyst with Medicaid experience

Remote

[Hiring] Data Analyst-Statistical-Senior @Intermountain Health

Remote

Health Informatics Specialist Senior- Fully Remote Opportunity

Remote

Clinical Informatics Specialist / Healthcare (ON-SITE) – San Diego, CA

Remote

[Remote] Profee Coding Consultant (Surgery Coding)

Remote

Online Health Systems Consultant

Remote

Pharmacy Benefits Operations Manager – Medicare Part D

Remote

Healthcare Payment Integrity Analyst - Policy & Content Management Team

Remote

Director, Payer Analyst - Patient Access

Remote

Health Care Provider Incentives and Project Coordinator (Operations & Policy Analyst 3)

Remote

[Remote] Customer Support Representative (Employee Health Insurance)

Remote

Experienced Remote Customer Service Representative – Delivering Exceptional Support and Solutions to Diverse Customer Base at arenaflex

Remote

Virtual Data Entry Clerk - Entry Level - Remote Opportunity at blithequark: Shape Your Career with Flexibility and Growth

Remote

Professional Coder- Full time, Days, REMOTE

Remote

Experienced Bilingual Customer Service Representative – English and Spanish Language Support for Dynamic Team at arenaflex

Remote

BJC HealthCare – REP,CENTRALIZED SCHEDULING RCM – Belleville, IL

Remote

Account Executive, SMB Sales

Remote

**Experienced Live Chat Support Assistant – Work from Home Opportunity for Career Changers and Remote Workers**

Remote

Product Operations Director - Remote

Remote

**Experienced Full Stack Live Chat Support Specialist – Web & Cloud Application Development**

Remote
← Back to Home