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Healthcare Consultant I

72% Flex

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Illinois (USA)

Offer summary

Qualifications:

Verifiable High School Diploma or GED, Bachelor's degree in social services, human services or behavioral health, Minimum of 2 years experience in behavioral health or social services field or human services, 2+ years of case management experience.

Key responsabilities:

Facilitate appropriate healthcare outcomes for waiver/LTSS members
Provide comprehensive healthcare management services to facilitate treatment and manage costs
Identify medical necessity/appropriateness, opportunities for improvement
Educate/empower customers for compliance and satisfaction
Implement/evaluate policy based on directives, empower decision making

ICONMA Human Resources, Staffing & Recruiting Large https://www.iconma.com/

1001 - 5000 Employees

See more ICONMA offers

Job description

Your missions

Healthcare Consultant I

Location: Remote
Duration: 12 Months

Description:
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

Verifyable High School Diploma or GED Required
Yes

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

Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination,support and education for members through the use of care management tools and resources.
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

Education
Bachelor's degree in social services, human services or
behavioral health.

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

Required profile

Experience

Level of experience: Mid-level (2-5 years)

Industry :

Human Resources, Staffing & Recruiting

Spoken language(s):

English

Check out the description to know which languages are mandatory.

Hard Skills

Case Management Healthcare Administration

Soft Skills

Interpersonal Skills
Compassion

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