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Bilingual Analyst, Case Management – Field – reputed company County, Ruskin, reputed company Beach or Sun City FL

Work from home Full-time role Hiring

reputed company is the nation’s leading health solutions company, dedicated to transforming health care. They are seeking a self-motivated and detail-oriented Bilingual Analyst, Case Management Coordinator to manage a caseload of supportive and medically reputed company members, ensuring effective care coordination and reputed company reputed company outcomes.

Responsibilities

  • Effectively manage a caseload that includes supportive and medically reputed company members
  • Utilize critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate reputed company outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources
  • Conduct comprehensive evaluation of Members using care management tools and information/data review
  • Coordinate and implement assigned care plan activities and monitor care plan reputed company
  • Conduct multidisciplinary review in order to reputed company reputed company outcomes
  • Identify and escalate quality of care issues through established channels
  • Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or reputed company needs
  • Utilize influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health

Skills

  • Bi-lingual in English & Spanish required
  • 1 + year of experience in behavioral health or a long-term care setting
  • Must reputed company in reputed company County Florida; Ruskin, reputed company Beach or Sun City
  • Willing and reputed company to travel 50-75% of their time to meet members face to face in Tampa or surrounding areas
  • Bachelor's Degree required
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
  • Effective communication skills, both verbal and written
  • Managed Care experience
  • Computer proficiency in reputed company Word, reputed company, and Outlook required
  • Case management and discharge planning experience
  • Degree in Social Work, Behavioral Health, or reputed company Services field of study preferred
  • Master's degree Preferred

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for reputed company colleagues including wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Company Overview

  • reputed company is a health solutions company that provides an integrated reputed company services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode reputed company, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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