Miami Lakes, FL · On-site
$36 - $37/hr
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment ... Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow ...
Miami Lakes, FL · On-site
$36 - $37/hr
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment ... Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow ...
Hialeah, FL · On-site
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment ... Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow ...
Hialeah, FL · On-site
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment ... Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
TX · Remote
$44 - $45/hr
Workflow Optimization * Monitor candidate progression and identify workflow delays or bottlenecks ... healthcare. * Strong ATS experience required -- Workday experience is REQUIRED. * Excellent ...
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TX · Remote
$44 - $45/hr
Workflow Optimization * Monitor candidate progression and identify workflow delays or bottlenecks ... healthcare. * Strong ATS experience required -- Workday experience is REQUIRED. * Excellent ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
... Optimization leads client engagements that strengthen the financial performance of hospitals, health systems, and physician groups. This is a delivery leadership role grounded in healthcare finance ...
Washington, DC · On-site
$20.61 - $30.62/hr
... healthcare for a reason. Let that reason thrive here. At BRIDGEPOINT CONTINUING CARE HOSPITAL ... Our employees form the foundation of everything we do optimizing resident healing and wellness, and ...
Washington, DC · On-site
$20.61 - $30.62/hr
... healthcare for a reason. Let that reason thrive here. At BRIDGEPOINT CONTINUING CARE HOSPITAL ... Our employees form the foundation of everything we do optimizing resident healing and wellness, and ...
Washington, DC · On-site
$18.40/hr
Our employees form the foundation of everything we do optimizing resident healing and wellness, and ... It is at HARBORSIDE HEALTH & REHABILITATION where care, community, and careers happen. What You'll ...
Washington, DC · On-site
$18.40/hr
Our employees form the foundation of everything we do optimizing resident healing and wellness, and ... It is at HARBORSIDE HEALTH & REHABILITATION where care, community, and careers happen. What You'll ...
Washington, DC · On-site
$18.40 - $26.81/hr
Our employees form the foundation of everything we do optimizing resident healing and wellness, and ... It is at STANTON PARK HEALTH & REHABILITATION where care, community, and careers happen. What You ...
Washington, DC · On-site
$18.40 - $26.81/hr
Our employees form the foundation of everything we do optimizing resident healing and wellness, and ... It is at STANTON PARK HEALTH & REHABILITATION where care, community, and careers happen. What You ...
Bellevue, WA · On-site
RN Procedural Periop- PACU Job Summary and Responsibilities As our RN Procedural Periop, you will ... achieve optimum health, functional status, and safe passage through invasive or interventional ...
Bellevue, WA · On-site
RN Procedural Periop- PACU Job Summary and Responsibilities As our RN Procedural Periop, you will ... achieve optimum health, functional status, and safe passage through invasive or interventional ...
North Miami, FL · On-site
Duties Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and ... care experience preferred Microsoft Office including Excel competent Education Bachelor's degree ...
North Miami, FL · On-site
Duties Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and ... care experience preferred Microsoft Office including Excel competent Education Bachelor's degree ...
Overview Provides comprehensive care management and transition of care services within a multidisciplinary team to improve quality, reduce cost, promote optimal patient health and well-being across ...
Overview Provides comprehensive care management and transition of care services within a multidisciplinary team to improve quality, reduce cost, promote optimal patient health and well-being across ...
Hartford, CT · On-site
... identify optimization opportunities and align them with industry-specific standards and best ... Health and Dependent Care Reimbursement Accounts * Insurance (Accident, Critical Illness , Hospital ...
Hartford, CT · On-site
... identify optimization opportunities and align them with industry-specific standards and best ... Health and Dependent Care Reimbursement Accounts * Insurance (Accident, Critical Illness , Hospital ...
Hartford, CT · On-site
... identify optimization opportunities and align them with industry-specific standards and best ... Health and Dependent Care Reimbursement Accounts * Insurance (Accident, Critical Illness , Hospital ...
New
Hartford, CT · On-site
... identify optimization opportunities and align them with industry-specific standards and best ... Health and Dependent Care Reimbursement Accounts * Insurance (Accident, Critical Illness , Hospital ...
New
Hartford, CT · On-site
... identify optimization opportunities and align them with industry-specific standards and best ... Health and Dependent Care Reimbursement Accounts * Insurance (Accident, Critical Illness , Hospital ...
Hartford, CT · On-site
... identify optimization opportunities and align them with industry-specific standards and best ... Health and Dependent Care Reimbursement Accounts * Insurance (Accident, Critical Illness , Hospital ...
Miami, FL · On-site
... optimal outcomes Identifies and escalates quality of care issues through established channels ... healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member ...
Miami, FL · On-site
... optimal outcomes Identifies and escalates quality of care issues through established channels ... healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member ...
Palmetto Bay, FL · On-site
... optimal outcomes Identifies and escalates quality of care issues through established channels ... healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member ...
Palmetto Bay, FL · On-site
... optimal outcomes Identifies and escalates quality of care issues through established channels ... healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member ...
Utica, NY · On-site
$44K/yr
... optimum healthcare needs without barriers. The Coordinator adheres to and promotes the philosophy and missions of the company by performing the following duties and responsibilities: Duties and ...
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Utica, NY · On-site
$44K/yr
... optimum healthcare needs without barriers. The Coordinator adheres to and promotes the philosophy and missions of the company by performing the following duties and responsibilities: Duties and ...
$9.38 - $11.17
1% of jobs
$11.17 - $12.96
4% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$12.96 - $14.75
23% of jobs
The median wage is $16.42 / hr.
$14.75 - $16.54
23% of jobs
$16.54 - $18.33
20% of jobs
$18.78 is the 75th percentile. Wages above this are outliers.
$18.33 - $20.13
14% of jobs
$20.13 - $21.92
7% of jobs
$21.92 - $23.71
2% of jobs
$23.71 - $25.50
1% of jobs
$25.50 - $27.29
2% of jobs
$27.29 - $29.09
2% of jobs
$9
$17
$29
To work at Optimum Healthcare, candidates typically need strong expertise in healthcare administration, patient care, and compliance, often supported by relevant degrees or certifications depending on the specific role. Familiarity with electronic health record (EHR) systems, insurance verification tools, and medical billing software is commonly required. Excellent interpersonal skills, attention to detail, and the ability to work collaboratively in multidisciplinary teams are essential soft skills. These qualifications enable employees to deliver efficient, patient-centered care while maintaining regulatory and operational excellence in a dynamic healthcare environment.
Optimum Healthcare values professional growth and offers a variety of advancement opportunities for employees who demonstrate initiative and a commitment to excellence. Team members may progress from entry-level positions to supervisory or managerial roles within their departments, or explore specialized tracks in areas such as case management, clinical support, or healthcare administration. Ongoing training programs, mentorship, and internal job postings enable employees to develop new skills and advance their careers. The organization fosters a supportive work environment that encourages personal and professional development, making it a great choice for those seeking long-term career opportunities in healthcare.
An Optimum Healthcare job typically refers to a role within Optimum Healthcare, a company that provides health insurance plans and medical services. Positions can range from customer service representatives and healthcare coordinators to clinical roles like nurses and case managers. Employees in these roles help members navigate their healthcare benefits, coordinate medical services, and ensure quality care. Job responsibilities vary based on the position but often involve assisting patients, handling administrative tasks, and working with healthcare providers. Optimum Healthcare focuses on improving patient outcomes and delivering effective healthcare solutions.
$36 - $37/hr
Other
Re-posted 13 days ago
$36-$37 per hour
Hialeah, FL
Contract
Position Summary:
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities .
May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
Duties:
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.
Experience:
Case management experience required
Long term care experience preferred
Microsoft Office including Excel competent
Position Summary
Location: Work from Home. Candidates must reside in Miami Dade County, FL.
Training will be conducted remotely via WebEx for approximately 1-2 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
Education
Bachelor’s degree required - No Nurses. Social work degree or related field.
Experience
Minimum 1 year of relevant experience in case management.
Skills:
Social work, Case management, Spanish
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
It services
1,001 - 5,000 Employees
Jersey City, NJ, US
2000
