*Healthcare Consultant I - FLA - (Cutler Bay)
Posted 08/04/2026
Job ID:
170394
Job Description
Job Title:
Healthcare Consultant I - FLA - (Cutler Bay)
Address:
Cutler Bay, FL
Job Description
Healthcare Consultant I - FLA - (Cutler Bay)
Address:
Cutler Bay, FL
Job Description
- 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.
- Conducts comprehensive evaluations of members using care management tools.
- Conducts multidisciplinary reviews to achieve optimal outcomes and escalates quality of care issues as needed.
- Provides coaching and support to empower members in their healthcare decision-making.
- Ensures compliance with regulatory and accreditation guidelines during monitoring and documentation of care.
- Work from home position, candidates must reside in Cutler Bay, FL.
- Remote training via Microsoft Teams for approximately 4-6 weeks.
- Candidate will travel approximately 75% of the time within the region to meet members.
- Monday - Friday, 8 am - 5 pm work schedule.
- Bachelor's degree required, preferably in Social Work or a related field.
- High School Diploma or GED is required.
- Benefits are available to full-time employees after 90 days of employment.
- A 401(k) with company match is available after 1 year of service.
- This is an AI-formatted job description; recruiter confirmation required.