Bilingual Case Management Analyst - Field in Miami-Dade, Florida
About The Position
The Bilingual Case Management Analyst supports optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Using care management tools and data analysis, the analyst assesses member needs, identifies risks, and develops and implements care plans. The role involves collaborating with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits. Through communication, coaching, and motivational techniques, the analyst promotes member engagement, informed decision-making, and healthy behavior changes. The analyst monitors care plan progress, documents activities, and ensures compliance with regulatory standards, company policies, and quality management guidelines. The role is based in Miami-Dade County, Florida, and requires willingness and ability to travel up to 75% of the time.
Requirements
- Bilingual in English and Spanish; must successfully pass verbal and written language assessments.
- Must have reliable transportation and be willing and able to travel up to 75% of the time; mileage is reimbursed per company policy.
- Must reside in Miami-Dade County, Florida.
- At least 1 year of experience in a behavioral health or long-term care setting.
- Proficiency in Microsoft Office Suite and computer use.
- Bachelor’s degree or non-licensed Master’s-level clinician degree in behavioral health or human services, such as psychology, social work, or marriage and family counseling.
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 verbal and written communication skills in both English and Spanish.
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 and improve quality of care.
- 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
- New hire bonus available.
- Medical coverage.
- Dental coverage.
- Vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.
- Other resources, based on eligibility.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
