Our client, a Retail Pharmacy company, is looking for a Healthcare Consultant I for their Kendall/West Kendall, FL location. Responsibilities:

+ 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.

+ 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

+ Co...