Our Client, a Retail Pharmacy company, is looking for a Case Management Coordinator for their Miami Dade County, FL (MUST BE IN ONE OF THESE ZIP CODES. 33192, 33182, 33172, 33193) location. 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