Healthcare Consultant II

Job Title: Healthcare Consultant II
Location: Remote, OH 12345
Duration: 3 Months+ Contract (Possible extension)

Pay Rate: $32.47/hr. on W2

Position Summary:
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve healthcare program/operational efficiency involving clinical issues.
 
Duties:

• Determines medical necessity/appropriateness.
• Facilitates optimal outcomes.
• Identifies and follows through with continuous quality/compliance opportunities. May also include identification of aberrances and initiation of corrective action.
• Educates/empowers customers to ensure compliance, satisfaction, and promote patient advocacy.
• Optimizes total costs.
• Implements and evaluates policy based on usage and program directives.
• Educates/empowers colleagues at all levels to enable decision making at the most appropriate level.

 
Experience:

• Minimum 3 years of relevant experience.

 
Education:

• Bachelor’s or Master’s degree in Social Work with license in Social Work for OH.