Case Manager - Bilingual at A-Line Staffing Solutions

Bilingual Long-Term Care Coordinator openings with a major health insurance company in Hillsborough County, Florida! Starting ASAP!! Apply now with Luke H. at A-Line!

**Must reside in Hillsborough county - Position will be hybrid and will require 80% local travel in Hillsborough County, Florida conducting member-facing visits**

Job Summary:

• Managing a case load for healthcare members with long term care needs.
• Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license.
• Member assessments and notes.
• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development

Pay Rate: $20 – $25 hourly (plus travel reimbursement)
Work Schedule: Monday - Friday 8am – 5pm

Job duties:

• Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
• Authorize and coordinate referral for services
• Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care
• Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care
• Assist member with filing and resolving complaints and appeals.

Required Experience:

• Bachelor’s degree in human services related field; Including but not limited to (Child, Family and Community Services, Early Childhood Development, Guidance and Counseling, Home Economics, Human Development Counseling, Human Services Administration, Human Services, Health Administration, Master of Divinity, Pastoral Care/Counseling, Psychiatry, Nursing, Psychology, Public Admin, Social Science, Social Work, Sociology)
• 2+ years of Care Management experience
• Experience with electronic medical health records, and Microsoft office programs
• Valid driver's license

Preferred Skills/ Experience:

• Current state’s RN, LCSW, LCPC, LSW, LPC licensure
• Home health, discharge planning, or long-term care experience preferred

Why Apply with A-Line:

• Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
• 401k after 1 year of employment: With employer match and profit sharing
• GREAT Hours! Monday through Friday, 40 hours per week
• Competitive Pay Rate

Keywords: Long Term Support Services, LTSS, LCSW, LCPC, LSW, LPC, Concurrent Review, Retrospective Review, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, HMO, Concurrent Review, Retrospective Review, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls.