'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

Experienced Full Stack Data Entry and Customer Data Platform Product Leader – Remote Work Opportunity with Competitive Hourly Rate

Remote

Solutions Consultant, MarTech

Remote

Urgently Required T-Mobile Retail Mobile Expert...

Remote

Lecturers, Part-time (Adjunct) Temporary, Graduate Nursing, Starting Fall 2025/Spring 2026

Remote

Customer Service Executive (No Experience Required) - Akron, Ohio - Join blithequark's Dynamic Team

Remote

Publicist & Partnership Manager (Freelance / Part-Time, Remote)

Remote

National Culinary Lead – Amazon & Volkswagen Group

Remote

Conduent Billing & Technical Customer Service Advisor, Remote in Remote, New Hampshire

Remote

**Experienced Full Stack Customer Service/Sales Representative – Retention and Growth Specialist**

Remote

Camunda BPMN Consultant-100% Remote

Remote
← Back to Home