Apply on Employer Site

Solis Health Plans · 3 hours ago

Case Management Coordinator

Doral, FL, US

Full-time

Onsite

Entry Level

$20/hr - $20/hr

2+ years exp

Solis Health Plans is a new kind of Medicare Advantage Company focused on providing a personal experience throughout the healthcare journey. They are seeking a Case Management Care Coordinator to help members manage their health by acting as a liaison between the health plan’s Case Management Department and the member’s healthcare providers, ensuring that care components are addressed and arranged.

Health CareHealth DiagnosticsPersonal Health

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

Qualification

Experience in MedicareCMS guidelinesBilingual in EnglishCreoleComputer skillsDecision-making skillsOrganizational skillsMedical terminology knowledgeCommunication skills

Required

MUST be Bilingual in English and Creole

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

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