Case Management Coordinator

Job Description

Job Description

A-Line Staffing is seeking a Case Management Coordinator to join our Case Management team. The Coordinator will conduct telephonic and face-to-face assessments to evaluate member needs and coordinate appropriate services for Medicaid Long Term Care/Comprehensive Program enrollees. This position supports both supportive and medically complex members while focusing on wellness, integration of care, and long-term positive outcomes.

This role requires a professional who is self-motivated, organized, tech-savvy, and able to work independently while managing a dynamic caseload.

Pay: 34.13/hr

Location: Candidates must reside in Miami-Dade County

Duties & Responsibilities:

• Conduct comprehensive evaluations using case management tools and data review
• Coordinate and implement individualized care plan activities and monitor progress
• Conduct multidisciplinary reviews to support optimal member outcomes
• Identify, track, and escalate quality of care issues
• Use motivational interviewing to promote member engagement and healthy behavior changes
• Provide coaching, resources, and education to empower members in healthcare decision-making
• Coordinate services such as prior authorizations, provider communication, condition management resources, community supports, and medication review
• Collaborate with PCPs, skilled providers, and community partners
• Conduct face-to-face visits in members’ homes, ALFs, and SNFs
• Maintain compliance with regulatory guidelines and accreditation standards
• Utilize Microsoft Office tools including Excel and Teams
• Effectively multitask and adapt to a fast-paced environment

Required Skills & Qualifications:

• Bilingual (English & Spanish), fluent in speaking and writing
• Strong verbal and written communication skills
• Ability to multitask, prioritize, and adapt to change
• Strong organizational skills and attention to detail
• Professionalism, strong work ethic, and positive attitude
• Ability to work independently in a remote/field environment
• Tech-savvy; able to use Microsoft Teams, Excel, and online platforms

Experience:

• Case Management experience required
• Long Term Care experience strongly preferred
• Microsoft Office (Excel, Teams) required
• Must be comfortable with extensive field travel (up to 75%)

Education Requirements:

• Bachelor’s degree in Social Work or related field required
• No nursing candidates will be considered
• High school diploma or GED required
• No prior CVS/Aetna experience required

Additional Details:

• Candidates must reside in Miami-Dade County
• Mileage reimbursement available
• Fully remote role with 50–75% local travel
• Training conducted remotely via Microsoft Teams
• Not a Peak Season position

If this is something you’re interested in, please APPLY NOW!

Code-164288