103 Healthcare Professionals jobs in Miami
Security Professional - Healthcare Unarmed Patrol
Posted 3 days ago
Job Viewed
Job Description
As a **Security Professional - Healthcare Unarmed Patrol** in **Miami, FL** , you will serve and safeguard clients in a range of industries such as Healthcare and more .
As a Patrol Unarmed Officer with Allied Universal at a healthcare location, you will play a key role in helping to create a secure and welcoming environment for all staff, patients, and visitors. Your responsibilities will include conducting regular patrols throughout the facility, maintaining a visible presence to help to deter security-related incidents, and responding promptly to any situations that arise. You will also be expected to provide outstanding customer service, communicate clearly with individuals on site, and use technology such as computers or tablets as part of your daily duties. This position requires a valid driver's license and may involve driving as part of your patrol responsibilities. At Allied Universal, we value teamwork, integrity, and a people-first approach, making this an excellent opportunity for those who are passionate about making a positive impact in a healthcare setting.
**Position Type: Full Time**
**Pay Rate: $16.54 / Hour**
**Job Schedule:**
**Day** **Time**
Mon06:00 AM - 02:00 PM
Tue06:00 AM - 02:00 PM
Wed06:00 AM - 02:00 PM
Thur06:00 AM - 02:00 PM
Fri06:00 AM - 02:00 PM
**What You'll Do:**
+ Use our proprietary scheduling platform to claim open shifts at client sites
+ Support operations across a range of environments including commercial real estate, healthcare, and education
+ Receive site-specific training and guidance from experienced teams
+ Deliver consistent, professional security presence and customer service
+ Be ready to fill in at short notice when urgent needs arise
**Responsibilities:**
+ Provide customer service to clients, staff, and visitors by carrying out security-related procedures and site-specific policies within a healthcare environment.
+ Respond to incidents and critical situations in a calm, problem-solving manner, following established protocols for healthcare locations.
+ Conduct regular and random patrols throughout the facility and its perimeter to help to deter unauthorized activity and identify potential security-related concerns.
+ Monitor entrances, exits, and sensitive areas to help to deter unauthorized access and maintain a visible Allied Universal presence.
+ Document and report security-related incidents, observations, and activities according to site and Allied Universal guidelines.
+ Assist with emergency response activities as needed, including guiding individuals during evacuations or other urgent situations.
+ Communicate professionally with staff, visitors, and emergency personnel as required.
**What We're Looking For:**
+ Availability across various days and shifts
+ Reliability and ability to adapt to different post assignments
+ A desire to gain broad experience and grow within the company
+ Interest in transitioning into full-time roles when available
**Minimum Requirements:**
+ At least 1 year of security-related experience is required.
+ Applicants must provide proof of a high school diploma or equivalent.
+ A valid driver's license is required and must meet Allied Universal driver policy requirements.
+ A state, county, or city issued security license is preferred.
+ Applicants who are comfortable using a computer or tablet are preferred.
+ Be at least 18 years of age for unarmed roles; 21+ years of age for armed roles.
+ Possess a high school diploma or equivalent.
+ As a condition of employment, applicants will be subject to a background investigation in accordance with all federal, state, and local laws.
+ Allied Universal will consider qualified applications with criminal histories in a manner consistent with applicable laws.
+ As a condition of employment, applicants will be subject to a drug screen to the extent permitted by law.
+ Licensing requirements are subject to state and/or local laws and regulations and may be required prior to employment.
+ A valid driver's license will be required for driving positions only.
**Why Join Us:**
+ Flexible Scheduling: Choose from a variety of open shifts that align with your availability and lifestyle.
+ Career Growth: Clear path to full-time roles and ongoing advancement through paid training programs.
+ Smart Tools: Access exclusive technology for real-time shift visibility and claiming.
+ Full-Time Benefits: Health insurance, 401(k) plans, and a comprehensive benefits package for full-time employees.
+ Employee Perks: Enjoy discounts at restaurants, entertainment venues, and more through our perks program.
**Allied Universal® is an Equal Opportunity Employer.** All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status, or any other basis protected by law. For more information: .
If you have any questions regarding Equal Employment Opportunity, Affirmative Action, Diversity and Inclusion, have difficulty using the online system and require an alternate method to apply, or require an accommodation at any time during the recruitment and/or employment process, please contact our local Human Resources department. To find an office near you, please visit: .
**Allied Universal® is an Equal Opportunity Employer.** All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status, or any other basis protected by law. For more information: .
If you have any questions regarding Equal Employment Opportunity, Affirmative Action, Diversity and Inclusion, have difficulty using the online system and require an alternate method to apply, or require an accommodation at any time during the recruitment and/or employment process, please contact our local Human Resources department. To find an office near you, please visit: .
**Job ID:**
**Location:** United States-Florida-Miami
**Job Category:** Security Officer
Healthcare Consultant I
Posted 4 days ago
Job Viewed
Job Description
Our Client, a Retail Pharmacy company, is looking for a Healthcare Consultant I for their Miami Dade County, FL location. Responsibilities: Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. 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. Requirements: Case management experience required Long term care experience preferred Microsoft Office including Excel competent High School Diploma or GED Required Bilingual Spanish/English Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Effective communication skills, both verbal and written. Bachelors degree required - No nurses. Social work degree or related field. Why Should You Apply? Health Benefits Referral Program Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
Project Manager - Healthcare
Posted 6 days ago
Job Viewed
Job Description
Our approach to healthcare is holistic. It is research-driven and designed to create engaging experiences for everyone from patients and families to staff and providers. Gensler seeks innovation for the individual, the community, and the region from a diverse global platform. We call our approach Radically Human. Gensler applies this approach to our work and in building our teams.
As a Gensler Project Manager with our Healthcare team in Florida, you'll be joining a dynamic team designing innovative projects for leading healthcare clients. We are collaborative and client focused, with a commitment to design experience, sustainability and social purpose. Join our incredible team and leverage the power of informed and purposeful user-centered design to unlock design solutions and strategies that are defining the next chapter in the healthcare industry.
What You Will Do
- Lead collaborative design teams, working closely with Practice Leader, Design Director, and PIC, to establish effective project workplans with attainable project objectives and design intent
- Collaborate with Healthcare Market Leader on client development opportunities
- Manage all phases of healthcare architecture and interior design projects, from project set-up through design and construction administration
- Understand all phases of design, effectively lead the team through the development of design documents, and AHCA reviews
- Help prepare project proposals, negotiate contracts and fees, coordinate bidding process
- Manage scheduling, budgets, staffing, project set-up with clients, sub-consultants, vendors and contractors
- Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions
- Provide leadership and mentorship to junior team members
- Track financial performance of projects
- Develop and maintain client relationships, for both single projects and multi-project global accounts
- Experience leading architectural and planning projects for healthcare clients (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.)
- Experience leading large scale and complex projects and mentoring architects and designers
- 10+ years of experience in a Project Manager role
- Integrated into the local Florida Healthcare community with positive healthcare client references is preferred
- Experience developing high-performance resilience building projects
- LEED accreditation is preferred
- Strong leadership, organization, communication and interpersonal management skills
- Commitment to collaborative design process
- Experience negotiating project scope and fees
- Knowledge of local building codes and standards
- Proficiency with project management software
- Working knowledge of Revit preferred
- Professional degree (Master or Bachelor) in Architecture from an accredited program
- Licensed architect or NCIDQ certified Interior Designer are preferred
- Demonstrated commitment to sustainability and sustainable building practices; Portfolios will ideally include at least one project (especially built projects with LEED, Living Building Challenge, WELL Building Standard, Fitwel, and/or Net Zero Building certification) with this particular focus, which we look forward to discussing during the interview
*This is not a remote position. We look forward to working with our new team member in our dynamic Miami Office If you're open to relocation, non-local candidates are welcome to join us in beautiful Florida!
Life at Gensler
At Gensler, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests.
We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice annual bonus opportunities. Our annual base salary range has been established based on local markets.
As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future.
#LI-NM1
Healthcare Construction Estimator
Posted 6 days ago
Job Viewed
Job Description
- Opportunity to work for one of the premier general contractors in the Miami area
- Great company culture and benefits!
Our client is located in Fort Lauderdale, Florida and is veteranowned firm founded 20 years ago. The company delivers a full suite of services-including designbuild, construction management, general contracting, and preconstruction-to both public and private clients across Florida.
Job Description
Key Responsibilities:
- Prepare detailed cost estimates, budgets, and bid proposals for healthcare construction projects (conceptual, schematic, design development, and construction document phases).
- Interpret architectural and engineering drawings, project specifications, and other documents to determine scope, materials, labor, and equipment needs.
- Work closely with architects, engineers, project managers, and clients to ensure alignment between budget and design.
- Analyze historical data and market trends to inform pricing strategies.
- Solicit and evaluate bids from subcontractors and suppliers; maintain a qualified vendor/subcontractor database.
- Identify and mitigate project risks related to cost, schedule, and constructability.
- Participate in value engineering and lifecycle cost analysis to support client decision-making.
- Ensure compliance with healthcare-specific codes, standards, and infection control procedures.
- Prepare and present estimate reviews to internal leadership and clients.
- Assist in post-bid scope reviews and handoff to project management teams.
The Successful Applicant
Qualifications:
- Bachelor's degree in Construction Management, Engineering, Architecture, or a related field (or equivalent experience).
- 5+ years of experience in construction estimating, with 3+ years focused on healthcare projects .
- Strong understanding of healthcare construction codes (e.g., FGI Guidelines, Joint Commission standards, NFPA).
- Proficiency with estimating software (e.g., Bluebeam, OST, PlanSwift, Sage Estimating, or similar ).
- Ability to read and interpret construction drawings, specifications, and contract documents.
- Strong communication and negotiation skills.
- Highly organized with excellent analytical and time-management abilities.
- Knowledge of local construction markets, labor rates, and subcontractor base.
- Experience working with healthcare owners such as hospitals, medical groups, or healthcare systems.
- Familiarity with Lean construction principles.
- Membership in a professional organization (e.g., ASPE, CMAA) or relevant certification (e.g., Certified Professional Estimator - CPE).
- Experience with Hard Bid Negotiation
Benefits:
- Competitive salary and performance bonuses
- Health, dental, and vision insurance
- 401(k) with employer match
- Paid time off and holidays
- Continuing education and professional development opportunities
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Simran Tandon
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Healthcare Case Manager
Posted 6 days ago
Job Viewed
Job Description
Job Summary:
-
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
-
Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
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
-
Helps member actively and knowledgeably participate with their provider in healthcare decision-making
-
Monitoring, Evaluation and Documentation of Care:
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Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Experience:
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Case management experience required
-
Long term care experience preferred
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Microsoft Office including Excel competent
Education:
-
Location: Work from Home. Candidates must reside in Miami-Dade County, FL.
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Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks.
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Candidate will travel approximately 75% of the time within the region seeing
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Members at home, in assisted living facilities and nursing homes.
-
Preferred Qualifications:
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Bilingual Spanish/English
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Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
-
Effective communication skills, both verbal and written
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Compliance Officer (Healthcare)
Posted 6 days ago
Job Viewed
Job Description
Compliance Officer
Onsite Work in Miami, FL
180-200k total comp.
Talentry is looking for a Compliance Officer to ensure our HIPAA, accreditation (URAC, VIPPS, ACHC, etc.), and statutory compliance. The right person will develop and revise policies and procedures, develop reports, and train personnel on compliance company wide. The right person will manage all audits and requests from regulatory agencies, and handle adjustments, appeals, outcome documentation etc.
This Compliance expert will report to the CEO and will also handle internal audits, prepare compliance reports for the executive team, and review documents, processes, and procedures for all departments. He or she will recommend corrective action and make recommendations for improved processes and procedures to ensure compliance.
Requirements
BA/BS or equivalent and 10+ years of experience.
7+ years' experience in audit, accreditation, compliance, and medical/healthcare.
Proven experience managing high-performing teams.
Demonstrated hands-on compliance leadership required.
Experience with private mid-sized companies a strong plus.
DME experience is a strong plus.
Healthcare Quality Analyst
Posted 2 days ago
Job Viewed
Job Description
Work You'll Do
+ Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
+ Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
+ Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
+ Consistently meet individual productivity and quality goals
The Team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Our Operations Transformation offering provides NextGen core operational solutions and operating models, business-led technology support, and process optimization services, maximizing value to our government clients' missions.
Qualifications:
Required:
+ 1 year DBQ Review experience
+ Bachelors degree OR Associates degree plus 2 years of experience Or high school diploma plus 4 years of experience
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Preferred Qualifications
+ MDEO (medical disability examination office) vendor experience
+ Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
+ Understanding of Medical Terminology
+ Medical Benefit experience
+ Medical License (LVN, RN, etc.)
Information for applicants with a need for accommodation: qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
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Healthcare Host/Hostess

Posted 3 days ago
Job Viewed
Job Description
**Location:** JACKSON NORTH MEDICAL CENTER -
**Workdays/shifts** **_:_** Varying shifts, days/hours (open availability preferred). More details will be provided during the interview process.
**Employment Type:** Full-time
**Pay Range:** $16.51 per hour - $16.51 per hour
Working with SodexoMagic is more than a job; it's a chance to be part of something greater because we believe our everyday actions have a big impact. You belong in a company that allows you to act with purpose and thrive in your own way.
**What You'll Do:** As a Healthcare Host/Hostess at SodexoMagic, you are a warm-welcomer and experience ambassador. Your dedication to customer service brings a smile and makes a meaningful impact on others.
**Responsibilities include:**
+ Effectively communicate with patients, staff and guests of the hospital to ensure accuracy and timelines of patient meal trays and floor stock.
+ Record the amount and type of special food
+ Delivering meal carts to patient units
+ Aid in the meal set-up at bedside with direct patient contact Discard soiled trays
+ Take inventory of nourishment areas, stock when necessary and accurately operate technical equipment.
+ Attends work and shows for scheduled shift on time with satisfactory regularity
+ Other duties may be assigned and can differ among accounts, depending on business necessities and client requirements.
**What You Bring:**
+ Successful candidates will be team-oriented, adaptable, reliable, and nurturers of a healthy/safe working environment for all.
+ 0 - 1 year of related experience is beneficial
Link to full Job description ( We Offer:**
+ Flexible and supportive work environment, so you can be home for life's important moments.
+ Access to ongoing training/development and advancement opportunities to turn your job into a career
+ Full array of benefits that support you and your family's wellbeing, including paid time off, holidays, medical, dental, vision, tuition reimbursement, 401k, discount programs, and more.
+ In addition to SodexoMagic's standard, some locations may offer additional site-specific benefits, including free "shift" meals (and/or allowances/per diems), uniforms, safety shoes, public transportation support and/or parking.
Link to benefits summary ( SodexoMagic strives to offer comprehensive summaries of our benefits packages and detailed descriptions of the positions candidates are applying for. However, due to the contractual nature of our business, some job duties and employee benefits may vary based on the unit/work location. We encourage you to discuss any questions about SodexoMagic's benefit offerings during the interview process._
**Who we are:**
SodexoMagic is the joint venture partnership between NBA Hall of Famer, Earvin "Magic" Johnson, and SodexoMagic. As a certified minority company, we deliver food, facilities management and integrated services to corporations, healthcare facilities, K-12 schools, colleges and universities and aviation lounges. This strategic alliance between Magic Johnson Enterprises and SodexoMagic, Inc., enables us to deliver creative solutions to our clients along with our local partners throughout the communities we serve.
Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you're happy at work. This is why we embrace culture and belonging as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. Should you need assistance with the online application process, please complete this form ( .
Healthcare Consultant I

Posted 4 days ago
Job Viewed
Job Description
+ Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
+ Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities .
+ May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Duties:**
+ 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.
**Experience:**
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Office including Excel competent
+ Position Summary
+ Location: Work from Home. Candidates must reside in Miami Dade County, FL.
+ Training will be conducted remotely via WebEx for approximately 1-2 weeks.
+ Candidate will travel approximately 75% of the time within the region seeing
+ Members at home, in assisted living facilities and nursing homes.
**Preferred Qualifications:**
**Bilingual Spanish/English**
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
**Education**
Bachelor's degree required - No Nurses. Social work degree or related field.
**Experience**
Minimum 1 year of relevant experience in case management.
**Skills:**
Social work, Case management, Spanish
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Healthcare Case Manager

Posted 4 days ago
Job Viewed
Job Description
+ Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
+ Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**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
+ 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.
**Experience:**
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Office including Excel competent
**Education:**
+ Location: Work from Home. Candidates must reside in Miami-Dade County, FL.
+ Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks.
+ Candidate will travel approximately 75% of the time within the region seeing
+ Members at home, in assisted living facilities and nursing homes.
+ Preferred Qualifications:
+ Bilingual Spanish/English
+ Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
+ Effective communication skills, both verbal and written
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.