Job Title: Bilingual Case Manager (REMOTE/WFH)
Job Type: Miami-Dade County, Florida (REMOTE+ Travel)
Pay Rate: $35.00/HR to $36.00/HR.
Shift/Hours: Mon-Fri: 08am – 05pm
Location: Overall Miami-Dade County, Florida (REMOTE + Travel)
Job Description:
·        We are seeking self-motivated, energetic, detail-oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team.
·        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.
·        Case Management Coordinator will effectively manage a caseload that includes supportive and medical complex members.
·        Develops 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 Member’s Health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
Job Duties:
·        Coordinates Case Management activities for Medicaid Long Term Care/Comprehensive Program enrollers.
·        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.
·        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.
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Education:
·        Bachelor's degree required in Social Work degree or related field.
Company Description
Software Galaxy Systems, LLC (SGS) is an award-winning Contingent Workforce Services firm providing a broad range of integrated suite of services through a global delivery platform. SGS brings innovative talent management strategies to empower its clients to stay focused on growth of their core competencies. SGS has developed a comprehensive process-oriented methodology to manage high-volume contingent labor, payroll services and SOW’s for today’s competitive landscape.
SGS is proud of the partnerships it has built with its clients, MSP’s, and employees which has allowed it to deliver unparalleled service to its wide-ranging customer base. SGS is a certified minority owned enterprise that provides innovative yet practical solutions, from concept through execution. We combine technology with strategy and aim to deliver results today that endure tomorrow. SGS’ client centric approach delivers unparalleled value with vastly responsive, streamlined and highly process oriented workforce solutions.
SGS has been awarded and acknowledged by leading MSP’s (i.e., KellyOCG, TAPFIN, Guidant Global, etc.) for its exemplary performance in the contingent workforce space.