Case Management Coordinator (Bilingual Spanish)

Location: Miami Dade, FL (ZIP CODES: 33010, 33012, 33013). Must be fluent in speaking Spanish, be able to have a full conversation The Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. The Case Management Coordinator will effectively manage a caseload that includes supportive and complex members. Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and support due to members' health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and support. Job Responsibilities: 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. Skills: Case management experience required Long term care experience preferred Microsoft Office including Excel competent Education/Experience: Bachelor's degree required - No nurse, social work degree or related field.