Bilingual Case Management Analyst - Field in Miami-Dade County, FL
About The Position
As a Case Manager Analyst, you will support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. You will use care management tools and data analysis to assess member needs, identify risks, and develop and implement effective care plans. Collaboration with internal teams, providers, and external resources is key to addressing barriers, improving quality of care, and ensuring services align with member benefits. Through communication, coaching, and motivational techniques, you will promote member engagement, informed decision-making, and healthy behavior changes. You are responsible for monitoring care plan progress, documenting activities, and ensuring compliance with regulatory standards, company policies, and quality management guidelines.
Requirements
- Bilingual (English & Spanish): Must successfully pass both verbal and written language assessments.
- Must have reliable transportation and be willing/able to travel up to 75% of the time.
- Must reside in Miami-Dade County, FL within zip codes 333127,33136,33161,33167
- At least 1 year in a behavioral health or long-term care setting.
- Proficiency in Microsoft Office Suite as well as computer use.
Nice To Haves
- Experience in discharge planning, case management, or managed care (MCO).
- Strong ability to multitask, prioritize, and adapt in a fast-paced environment.
- Advanced communication skills in both English and Spanish (verbal and written).
Responsibilities
- Coordinate care, provide education, and facilitate access to appropriate healthcare services.
- Assess member needs, identify risks, and develop and implement effective care plans using care management tools and data analysis.
- Collaborate with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits.
- Promote member engagement, informed decision-making, and healthy behavior changes through communication, coaching, and motivational techniques.
- Monitor care plan progress and document activities.
- Ensure compliance with regulatory standards, company policies, and quality management guidelines.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- New Hire Bonus Available
- Mileage reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
