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Job Requirements of Healthcare Consultant II:
-
Employment Type:
Contractor
-
Location:
Work From Home, RI (Remote)
Do you meet the requirements for this job?
Healthcare Consultant II
Careers Integrated Resources Inc
Work From Home, RI (Remote)
Contractor
Client max bill rate: ***
Supplier max bill rate: ***
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 .
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 members at all levels to enable decision making at most appropriate level
Complete transition of care protocol and follow up which includes a post discharge assessment and care plan updates
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 .
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
Complete transition of care protocol and follow up which includes a post discharge assessment and care plan updates
Experience:
- Minimum 2 years of clinical experience
- RN license that is active and unrestricted Virginia or compact state
- Effective communication skills, both verbal and written
- Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Education:
Minimum of an associated degree in nursing
RN license that is active and unrestricted in Virginia or compact state
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