Case Management Coordinator

Solis Health Plans• Doral, FL, US, FL

9d•$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 Case Management Care Coordinator acts as a liaison between the Case Management Department, members, and healthcare providers, helping ensure that care needs and components of members’ individualized care plans are addressed and arranged. The role supports members through outreach, careful information gathering, empathetic communication, and follow-up to promote a positive healthcare experience. It requires flexibility, quick thinking, and a caring disposition. The position is fully onsite, Monday through Friday. The posting says bilingual English/Spanish is required, while its qualifications section says fluency in Creole and English is required.

Requirements

High school diploma and at least two years of experience in a healthcare-related customer service position, or an equivalent combination of education and experience.
Bilingual English/Spanish is required, according to the posting’s introductory notice.
Fluency in Creole and English is required, according to the qualifications section.
Excellent computer skills, 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.
Ability to perform duties with minimal supervision.
Ability and willingness to work independently and as part of a team.
Working knowledge of medical terminology.

Nice To Haves

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

Responsibilities

Perform member screenings by completing health risk assessments.
Complete interventions based on members’ individualized care plans.
Schedule appointments to support care plan goals.
Communicate professionally with internal and external nurses and physicians.
Handle inbound calls and answer member inquiries.
Connect with members by phone and other communication methods.
Coordinate with community resources to support care plan interventions.
Accurately document information in members’ electronic records.
Support the case management team by following up on interventions and actions.
Ensure compliance with HIPAA, OSHA, and other applicable federal, state, and local regulations.
Assist with data collection.
Maintain a polite and professional demeanor and uphold patient confidentiality.
Work effectively in a fast-paced, demanding environment; multitask and prioritize effectively.
Assist with training new staff members.
Perform other duties and projects as assigned.