Care Worker

Duration: 4 + months of extendable contract

Location: Miami, FL 33126

Responsibilities:

· Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion. Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found.

· Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.

· Researches availability of community services in order to link members to appropriate services. Assists in transitions in care for hospitalized patients and makes appropriate placements as needed.

- Assumes responsibility for self-development and career progression.

· Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role. Assists in the mentoring and training of new Care Workers. Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

· Coordinates and manages distribution of correspondence and materials to enrollees and providers. Participates in operational activities, including data collection, tracking, and analysis.

All your information will be kept confidential according to EEO guidelines.