Healthcare Consultant I - North Miami (33012) jobs in United States
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LanceSoft, Inc. · 1 day ago

Healthcare Consultant I - North Miami (33012)

LanceSoft, Inc. is seeking a self-motivated and detail-oriented Case Management Coordinator to join their team. The role involves assessing, planning, implementing, and coordinating case management activities to evaluate and enhance the medical needs of members for their overall wellness.

Information Technology
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollers
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/behaviour 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

Qualification

Case ManagementLong Term CareMicrosoft OfficeBilingual SpanishBilingual EnglishMultitaskingMotivational interviewingEffective communicationNegotiation skills

Required

Candidate must be located in North Miami, In or around Zip Code 33012 and surrounding areas (33010,33013,33014,33015,33016)
Bilingual (Spanish, English)
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
Effective communication skills, both verbal and written
Candidate will travel approximately 75% of the time within Miami-Dade County seeing members at their homes, in Assisted Living Facilities and Skilled Nursing Facilities
Case Management experience required
Microsoft Office experience required (Excel, Teams)
Bachelor's degree in social work or related field required. No Nurses

Preferred

Long Term Care experience preferred

Benefits

Four options of medical Insurance
Dental and Vision Insurance
401k Contributions
Critical Illness Insurance
Voluntary Permanent Life Insurance
Accident Insurance
Other Employee Perks

Company

LanceSoft, Inc.

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Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.

H1B Sponsorship

LanceSoft, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (55)
2024 (32)
2023 (23)
2022 (25)
2021 (60)
2020 (80)

Funding

Current Stage
Late Stage

Leadership Team

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Ram Karuppusamy
Chairman & CEO
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Simon Dealy
Chief Financial Officer
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Company data provided by crunchbase