Position Overview
Our client, a Retail Pharmacy company, is looking for a Case Management Coordinator for their North Miami, Aventura, Hialeah or Miramar Counties, FL location. Responsibilities:
+ Determines medical necessity/ appropriateness
+ Facilitates optimal outcomes
+ Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action
+ Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
+ Optimize total costs
+ Implementation and evaluation of policy based on usage and program directives
+ Educate/empower colleagues at all levels to enable decision making at most appropriate level
Requirements:
+ Verifyable High School Diploma or GED Required
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Offi...