Job Description:
• Coordinate care to support optimal member health outcomes
• Provide member education and facilitate access to appropriate healthcare services
• Use care management tools and data analysis to assess member needs and identify risks
• Develop and implement effective care plans
• 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
• Travel throughout the assigned Florida field locations up to 75% of the time
Requirements:
• Bilingual English and Spanish required
• Must successfully pass verbal and written language assessments in both languages
• Must have reliable transportation and be willing and able to travel up to 75% of the time
• Must reside in North Miami, Miramar, Aventura, Pembroke Pines, Hialeah, or Flagler, 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 required
• Degree in behavioral health or human services, such as psychology, social work, or marriage and family counseling
• Experience in discharge planning, case management, or managed care preferred
• Ability to multitask, prioritize, and adapt in a fast-paced environment preferred
• Advanced verbal and written communication skills in English and Spanish preferred
Benefits:
• New Hire Bonus Available
• Mileage is reimbursed per company policy
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being, based on eligibility
• CVS Health bonus, commission or short-term incentive program in addition to base pay
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