Talent.com
Case Management Coordinator
Case Management CoordinatorSolis Health Plans • Miami, FL, US
Case Management Coordinator

Case Management Coordinator

Solis Health Plans • Miami, FL, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

Job Description

About us :

Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued.

Please check out our company website at www.solishealthplans.com to learn more about us!

  • Bilingual in English and Spanish is required

Full benefits package offered on the first on the month following date of hire including : Medical, Dental, Vision, 401K plan with a 100% company match!

Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to almost 7,000 members in the last year!

Join our winning Solis Team!

Position is fully onsite Monday-Friday.

Location : 9250 NW 36th St, Miami, FL 33178.

Position Summary :

Case Management Care Coordinators play a crucial role in helping members manage their health by acting as a liaison between the health plan’s Case Management Department and the member’s healthcare providers. They perform their duties as an extension of the case management team, ensuring that the components identified as part of the member’s care are addressed and arranged. The Care Coordinators provide support by reaching out to members and ensuring their needs are met. Additionally, the Care Coordinator gathers key information that enables other members of the department, as well as those in other departments, to deliver exceptional customer care through attention to detail, empathetic communication, and necessary follow-up for optimal healthcare experiences. This role requires flexibility, quick thinking, and a caring disposition.

Essential Duties and Responsibilities :

  • Performs member screenings through the completion of health risk assessments.
  • Completes interventions based on the member’s individualized care plan.
  • Schedules appointments to support care plan goals.
  • Communicates professionally with nurses and physicians, both internal and external to the organization.
  • Handles inbound calls and answers member inquiries.
  • Connects with members via phone and other communication methods.
  • Coordinates with community resources to support interventions outlined in the member’s individualized care plan.
  • Documents information accurately within the member’s electronic record.
  • Assists the case management team with supporting and following up on interventions and actions.
  • Ensures compliance with all regulatory requirements, including HIPAA, OSHA, and other federal, state, and local regulations.
  • Assists with data collection.
  • Maintains a polite and professional demeanor at all times.
  • Upholds patient confidentiality at all times.
  • Works effectively in a high-paced and demanding environment.
  • Demonstrates the ability to multi-task and prioritize effectively.
  • Assists with the training of new staff members.
  • Performs other duties and projects as assigned.
  • Qualifications & Education :

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below represent the knowledge, skills, and / or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • High School Diploma and a minimum of two (2) years of experience in a healthcare-related customer service position, or an equivalent combination of education and experience.
  • Experience in Medicare and managed care insurance is preferred.
  • Knowledge of CMS guidelines is preferred.
  • Excellent computer skills are required, including proficiency in Microsoft Office.
  • Strong decision-making and organizational skills.
  • Excellent listening, interpersonal, verbal, and written communication skills with individuals at all levels of the organization.
  • Must be able to perform duties with minimal supervision.
  • Willingness and ability to function independently as well as part of a team.
  • Working knowledge of medical terminology.
  • Fluency in both Creole and English is required.
  • Performance Measurements :

  • Duties accomplished at the end of the day / month.
  • Attendance / punctuality.
  • Compliance with Company regulations.
  • Safety and Security.
  • Quality of work.
  • What set us apart :

    Join Solis Health Plans as a Case Management Care Coordinator and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

    serp_jobs.job_alerts.create_a_job

    Coordinator Case • Miami, FL, US

    Job_description.internal_linking.related_jobs
    Director Case Management - FT Days - JDCH

    Director Case Management - FT Days - JDCH

    Memorial Regional Hospital • Hollywood, FL, US
    serp_jobs.job_card.full_time
    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Colorado Licensed Behavioral Health Coordinator

    Colorado Licensed Behavioral Health Coordinator

    VirtualVocations • Hollywood, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a Behavioral Health Utilization Management Clinical Coordinator.Key Responsibilities Process Behavioral Health and Substance Use Disorder authorizations within designated...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Trust Solutions Coordinator

    Trust Solutions Coordinator

    CI Financial Corp. • Miami, FL, US
    serp_jobs.job_card.permanent
    At Corient, we help high- and ultra-high-net-worth individuals and families to enjoy a full life, while enabling them to preserve their wealth for future generations, and provide for the people, ca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day
    Family Practice

    Family Practice

    GO Staffing • Homestead, Florida, US
    serp_jobs.job_card.full_time
    Family Practice physician job in Florida : .A growing group in the Homestead, FL area has an opening for a Primary Care Physician to join their team. Must be Board Certified Family or Internal Medici...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Maine Licensed Population Health Coordinator

    Maine Licensed Population Health Coordinator

    VirtualVocations • Davie, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a Population Health Coordinator - Medical.Key Responsibilities Manage data and registry for special populations, assessing progress and proposing quality improvement init...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    HEDIS Operations Coordinator

    HEDIS Operations Coordinator

    VirtualVocations • Hollywood, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a HEDIS Screening Operations Coordinator.Key Responsibilities Coordinate with Primary Care Physician offices to ensure diabetic members receive necessary eye exams Manag...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Referral Program Coordinator

    Referral Program Coordinator

    VirtualVocations • Fort Lauderdale, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a Referral Program Coordinator.Key Responsibilities Process internal, incoming, and external referrals for Ambulatory services, procedures, and medications Obtain prior ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Oncology Case Manager

    Oncology Case Manager

    VirtualVocations • Miami, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for an Oncology Prior Authorization Case Manager, Non-RN - Remote.Key Responsibilities Conduct initial, concurrent, and retrospective chart reviews for clinical utilization a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Management Coordinator

    Patient Management Coordinator

    Nova Southeastern University • Fort Lauderdale, FL, United States
    serp_jobs.job_card.full_time
    Join Our Team at NSU Health : Patient Management Coordinator Opportunity!.Nova Southeastern University (NSU), a beacon of academic excellence and innovation since 1964, is excited to offer a unique ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Director - Case Management - FT Days - MRHS

    Director - Case Management - FT Days - MRHS

    Memorial Regional Hospital • Hollywood, FL, US
    serp_jobs.job_card.full_time
    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director - Case Management - FT Days - MHW

    Director - Case Management - FT Days - MHW

    Memorial Regional Hospital • Pembroke Pines, FL, US
    serp_jobs.job_card.full_time
    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Member Engagement Coordinator

    Member Engagement Coordinator

    VirtualVocations • Hialeah, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a Member Engagement Coordinator (scheduler).Key Responsibilities Conduct member outreach via telephone, text, and email to engage patients for scheduling and confirming a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director - Case Management - FT Days - MHW

    Director - Case Management - FT Days - MHW

    Memorial Healthcare System • Pembroke Pines, FL, US
    serp_jobs.job_card.full_time
    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Director - Case Management - FT Days - MRHS

    Director - Case Management - FT Days - MRHS

    Memorial Healthcare System • Hollywood, FL, US
    serp_jobs.job_card.full_time
    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Case Management Coordinator

    Case Management Coordinator

    VirtualVocations • Davie, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a Case Management Referral Coordinator.Key Responsibilities Manage the referral email inboxes and process referrals in the ALARISware System Attend ongoing training and ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN Case Management Manager

    RN Case Management Manager

    VirtualVocations • Fort Lauderdale, Florida, United States
    serp_jobs.job_card.full_time
    A company is looking for a Manager, Case Management.Key Responsibilities Oversee the execution and implementation of Clinical Programs' strategy and operations Lead and develop a team of clinica...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Nurse Manager - Case Management - FT - Days - MHM

    Nurse Manager - Case Management - FT - Days - MHM

    Memorial Regional Hospital • Hollywood, FL, US
    serp_jobs.job_card.full_time
    Job Opportunity At Memorial Healthcare System.At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care.An unwavering ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Case Manager - $1,812 to $1,912 per week in Fort Myers, FL

    Travel Nurse RN - Case Manager - $1,812 to $1,912 per week in Fort Myers, FL

    TravelNurseSource • Miami, Florida, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Converdia Health Staffing to find a qualified Case Manager RN in Fort Myers, Florida, 33912!. ConVerdia Health Staffing- Staffing temporary and permanent jobs acros...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted