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Job Requirements of Healthcare Consultant I:
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Employment Type:
Contractor
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Location:
Springfield, IL (Onsite)
Do you meet the requirements for this job?
Healthcare Consultant I
Careers Integrated Resources Inc
Springfield, IL (Onsite)
Contractor
Sourcing candidates in Decatur ILL.
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
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
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:
Sourcing for Decatur and Macon County area PLEASE INCLUDE LOCATION ON RESUME
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
Sourcing for Decatur and Macon County area PLEASE INCLUDE LOCATION ON RESUME
Experience:
Minimum 2 year of relevant experience in Behavioral Health or Social Services field or Human Services field.
Must have 2 plus years of experience in Case Management.
*Willing and able to travel using your own vehicle (50-75% of the time) to meet with members face to face in the Decatur/ Macon County Illinois and surrounding areas. (Must have reliable transportation and a drivers license)
Education:
Bachelors Degree in Social Services, Human Services or Behavioral Health
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