Case Management Coordinator

Solis Health Plans• Doral, FL, US, FL

13h•$0 - $20•Onsite

About The Position

Solis Health Plans is a Medicare Advantage Company focused on providing transparent, connected, and effective solutions for members and providers. The company aims to offer a personal experience throughout the healthcare journey and fosters a collaborative and supportive culture where employees are valued. Solis Health Plans has experienced significant growth, doubling its size and nearly tripling its membership in the last year.

Requirements

High School Diploma and a minimum of two (2) years of experience in a healthcare-related customer service position, or an equivalent combination of education and experience.
Excellent computer skills are required, including proficiency in Microsoft Office.
Strong decision-making and organizational skills.
Excellent listening, interpersonal, verbal, and written communication skills with individuals at all levels of the organization.
Must be able to perform duties with minimal supervision.
Willingness and ability to function independently as well as part of a team.
Working knowledge of medical terminology.
Fluency in both Creole and English is required.

Nice To Haves

Experience in Medicare and managed care insurance is preferred.
Knowledge of CMS guidelines is preferred.

Responsibilities

Performs member screenings through the completion of health risk assessments.
Completes interventions based on the member’s individualized care plan.
Schedules appointments to support care plan goals.
Communicates professionally with nurses and physicians, both internal and external to the organization.
Handles inbound calls and answers member inquiries.
Connects with members via phone and other communication methods.
Coordinates with community resources to support interventions outlined in the member’s individualized care plan.
Documents information accurately within the member’s electronic record.
Assists the case management team with supporting and following up on interventions and actions.
Ensures compliance with all regulatory requirements, including HIPAA, OSHA, and other federal, state, and local regulations.
Assists with data collection.
Maintains a polite and professional demeanor at all times.
Upholds patient confidentiality at all times.
Works effectively in a high-paced and demanding environment.
Demonstrates the ability to multi-task and prioritize effectively.
Assists with the training of new staff members.
Performs other duties and projects as assigned.