Location: Contractors will work from home but will be visiting members in facilities or their homes. 80% is member facing. Please reference the comments to vendors for specify Region.
Northern Miami-Dade Only (Ex. Hileah or Miami Gardens )
Duration: 4 Months
Shift:8-5 Mon-Fri
Day to Day Responsibilities of this Position and Description of Project:
Managing a case load for healthcare members with long term care needs.
Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license.
Member assessments and notes.
Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development
Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
Authorize and coordinate referral for services
Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care
Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services
Assist member with filing and resolving complaints and appeals
Bachelor’s degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse, and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long-term care experience preferred. Licenses/Certifications: Valid driver's license
Skills/ Experience
2+ years of Care Management experience
Experience with electronic medical health records
Microsoft office
Home health
Long term care
Discharge planning
Bilingual in Spanish
Bachelor’s
Seniority level
Mid-Senior level
Employment type
Contract
Job function
Health Care Provider
Industries
Hospitals and Health Care
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