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Posted: 10/16/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and care coordination for Medicaid members, focusing on wellness promotion and resource connection. Proficient in assessing needs, developing care plans, and collaborating with interdisciplinary teams to achieve optimal health outcomes.
Highest-signal resume keywords
Case Management ExperienceMedicaid KnowledgeBachelor's Degree in Health Services, Social Work, or PsychologyBilingual English/SpanishIntermediate to Advanced Computer Skills
About the role
Key responsibilities & impact- Evaluate Medicaid members’ needs and requirements to achieve or maintain optimal wellness
- Visit Medicaid members in their homes, Assisted Living Facilities, Long Term Care Facilities, and other care settings
- Spend 75-90% of time on local travel
- Assess and evaluate member needs and establish member-specific care plans
- Ensure members receive services in the least restrictive setting
- Plan and implement interventions
- Coordinate services
- Monitor and evaluate case management plans against members’ personal goals
- Guide members and families toward appropriate care resources
- Facilitate interactions with payer sources, providers, interdisciplinary teams, and others involved in members’ care
- Report to the Regional Care Coach Manager
- Connect members with quality services to promote well-being and health outcomes
Requirements
What you’ll need- Bachelor's Degree with at least 2 years of relevant experience in Health Services, Social Work, or Psychology; OR Registered Nurse (RN), licensed in the state of Florida, with at least 2 years of relevant experience; OR Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience; OR Case Worker with a minimum of 6 years of Health Services/Case Management Experience
- Prior experience with Medicare & Medicaid recipients
- Intermediate to advanced computer skills
- Experience with Microsoft Office programs
- AHCA Fingerprint Required
- Must complete tuberculosis screening if selected
- Valid state driver's license
- Proof of personal vehicle liability insurance
- Preferred: Prior nursing home diversion or long-term care case management experience
- Preferred: Bilingual English/Spanish with ability to pass a Language Proficiency Exam
- Preferred: Experience with electronic case note documentation and documenting in multiple computer applications/systems
- Preferred: Experience working with geriatric population
- Preferred: Experience with health promotion, coaching and wellness
- Preferred: Knowledge of community health and social service agencies and additional community resources
- Preferred: 701B Certification
- Preferred: Medication application (RFA) experience
- Must meet Florida Level 2 background screening requirements through the Care Provider Background Screening Clearinghouse for Florida work locations
- Schedule: Monday-Friday, 8:30am-5:00pm
Benefits
Comp & perks- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- 75-90% local travel to members’ locations, with mileage-related travel implied by field work
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan DevelopmentHealth PromotionGeriatric Care ExperienceMedication Application (RFA)Electronic Case Note Documentation
Soft Skills
Interpersonal CommunicationProblem-SolvingTeam Collaboration
Tools & Technologies
Microsoft Office Programs
Certifications & Qualifications
701B CertificationAHCA Fingerprint
Industry Keywords
MedicareCommunity HealthSocial Service AgenciesLong-Term CareTuberculosis Screening