CTC · 3 weeks ago
Healthcare Consultant
Hollywood, FL, US
Full-time
Hybrid
Mid LevelCTC is seeking a self-motivated and detail-oriented Healthcare Consultant to join their Case Management team. The role involves assessing, planning, implementing, and coordinating case management activities for members to facilitate their overall wellness, while traveling approximately 75% of the time within the region.
AnalyticsConsultingProduct ResearchTraining
Responsibilities
Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees
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
Qualification
Required
Candidates must reside in Miami Dade County, FL (Doral, Coral Gables)
Case management experience required
Microsoft Office including Excel competent
Bachelor's degree required - No Nurses. Social Work degree or related field
Preferred
Long term care experience preferred
Bilingual Spanish/English(both reading and speaking and writing)
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
Company
CTC
CTC engages in cross-disciplinary business activities that respond to the research, scientific, technological, creative and educational needs of the leather, leather goods, footwear, apparel and textile industries.
Founded in 1899
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase