More jobs:
Long Term Care - Case Manager
Job in
Town of Florida, Montgomery County, New York, USA
Listed on 2026-10-14
Listing for:
SGS Consulting
Full Time
position Listed on 2026-10-14
Job specializations:
-
Healthcare
Patient/Health Advocate, Community Health, Health Education & Promotion, Healthcare Administration
Job Description & How to Apply Below
- Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.
- Candidates must be located in South Miami.
- This role will require 50-75% travel for face-to-face visits with members in Miami Dade.
- Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.
- 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.
- One year Case management experience A MUST / Case Management Certificate (Preferred)
- Long term care experience (Preferred)
- Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
- Effective communication skills, both verbal and written
- Managed Care experience
- Computer proficiency in Microsoft Word, Excel, and Outlook required
- Bachelor's degree required - No nurses. Social work degree or related field preferred.
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×