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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 For: Jefferson County and Surrounding Areas
PLEASE INCLUDE LOCATION ON RESUME
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:
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
Experience:
Minimum of 2 years of experience in behavioral health or
social services field or human services.
Must have 2+ years of experience in case management
*Willing and able to travel using your own vehicle 50-75%
of their time to meet with members face to face in Jefferson County and surrounding areas (Must have reliable
transportation and a drivers license)
Education:
Bachelor's degree in social services, human services or
behavioral health.
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