Healthcare Consultant I Job at SGS Consulting, Florida

RmpOTlpvQ29kS0x2L0hyd3MyNXljZTg9
  • SGS Consulting
  • Florida

Job Description

Job Responsibilities:

  • Develop 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 Coordinator will determine appropriate services and support due to members’ health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
  • Helps members 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.

Skills:

  • Case management experience required, long term care experience preferred
  • Microsoft Office including Excel competence
  • Bilingual Spanish/English Required

Education/Experience:

  • Bachelor's degree required
  • No nurses
  • Social work degree or related field.

Job Tags

Temporary work, Work at office,

Similar Jobs

TradeJobsWorkforce

Dedicated Writer Job at TradeJobsWorkforce

 ...Dedicated Writer Job Duties: Computer with internet access Office 365 or Microsoft Office Suite Mobile phone Willingness to communicate and help clients Writing and research skills Formatting abilities, specifically academic styles like MLA and APA US... 

Emerson

CNC Operator 1st Shift Job at Emerson

 ...execution, Emerson helps customers in critical industries like life sciences, energy, power and renewables, chemical and advanced factory automation operate more sustainably while improving productivity, energy security and reliability. With global operations and a... 

GetMed Staffing, Inc.

Travel Cath Lab Technician Job at GetMed Staffing, Inc.

 ...Job Description GetMed Staffing, Inc. is seeking a travel Cath Lab Technologist for a travel job in Kansas City, Missouri. Job...  ...travelassignment. Benefits ~ Life insurance ~ Medical benefits ~ Dental benefits ~ Vision benefits ~401k retirement plan... 

CWI

Service Writer Job at CWI

Service Advisor Camping World is seeking a Service Advisor to join our growing team. As a Service Advisor you will primarily be responsible for initiating and processing requests for repair services and providing administrative support to the Service Department as well...

ROCS Grad Staffing

Air Import / Export Specialist Job at ROCS Grad Staffing

 ...Job Description Job Overview We are seeking an International Air Import / Export Specialist to join our dedicated Logistics Division. In this essential role, you will develop and maintain strong client relationships, manage all shipment-specific import and export...