Healthcare Consultant
Company: CTC
Location: Orlando
Posted on: January 14, 2026
|
|
|
Job Description:
Job Description Description : Location: Field work. Candidates
must reside in Miami Dade County, FL (Doral, Coral Gables).
Training will be conducted remotely via Microsoft Teams for
approximately 4-6 weeks. Candidate will travel approximately 75% of
the time within the region seeing Members at home, in assisted
living facilities and nursing homes. Monday - Friday: 8 am - 5 pm
EST Summary We are seeking self-motivated, energetic, detail
oriented, highly organized, tech-savvy Case Management Coordinator
to join our Case Management team. Our organization promotes
autonomy through a Monday-Friday working schedule and flexibility
as you coordinate the care of your members. Case Management
Coordinator is responsible for telephonically and/or face to face
assessing, planning, implementing, and coordinating all case
management activities with members to evaluate the medical needs of
the member to facilitate the member’s overall wellness. Case
Management Coordinator will effectively manage a caseload that
includes supportive and medically complex members. Develops a
proactive course of action to address issues presented to enhance
the short and long-term outcomes as well as opportunities to
enhance a member’s overall wellness through integration. Case
Management Coordinators will determine appropriate services and
supports due to member’s health needs; including but not limited
to: Prior Authorizations, Coordination with PCP and skilled
providers, Condition management information, Medication review,
Community resources and supports. Duties : 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, in order to
facilitate appropriate healthcare outcomes for members by providing
care coordination, support and education for members through the
use of care management tools and resources. Conducts comprehensive
evaluation of Members using care management tools and
information/data review Coordinates and implements assigned care
plan activities and monitors care plan progress Conducts
multidisciplinary review to achieve optimal outcomes Identifies and
escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and
services necessary to meet the member’s benefits and/or healthcare
needs Utilizes influencing/ motivational interviewing skills to
ensure maximum member engagement and promote lifestyle/behavior
changes to achieve optimum level of health Provides coaching,
information and support to empower the member to make ongoing
independent medical and/or healthy lifestyle choices Helps member
actively and knowledgeably participate with their provider in
healthcare decision-making Monitoring, Evaluation and Documentation
of Care: Utilizes case management and quality management processes
in compliance with regulatory and accreditation guidelines and
company policies and procedures. Experience : Case management
experience required Long term care experience preferred Microsoft
Office including Excel competent Preferred Qualifications:
Bilingual Spanish/English(both reading and speaking and writing)
Ability to multitask, prioritize and effectively adapt to a fast
paced changing environment Effective communication skills, both
verbal and written Education : Bachelor's degree required - No
Nurses. Social Work degree or related field. Onsite Requirements :
Fully remote (never coming onsite) Please reach out to
Gayathri.Nareshkumar@ctcworld.com
Keywords: CTC, Brandon , Healthcare Consultant, Healthcare , Orlando, Florida
