Healthcare Consultant I

Title: Healthcare Consultant I – Field Case Management Coordinator
 
Schedule: Monday-Friday 8a-5pm
 
Must Be Located within Macon County and surrounding counties   
 
Description:
The Healthcare Consultant I – Field Case Management Coordinator provides comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.
 
What You Will Do:
 

• 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.
• 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.

 
You Will Be Successful If:
 

• You are organized, efficient, and can work independently.
• Position will require travel to members' homes.
• Must live near areas listed due to travel requirement and will work at home in between visits.

 
What You Will Bring:
 

• 2+ year(s) experience within behavioral health, social services, or human services field.
• 2+ years of experience in case management.
• Willing and able to travel up to 50%-75% locally to meet members face to face
• Must have reliable transportation.
• Computer literacy and demonstrated proficiency is required in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel, is strongly preferred.
• Bachelor's degree required or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, rehabilitation, social work, marriage, and family therapy,
  counseling).
• Managed care experience preferred.

 
About Impresiv Health:
 
Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
 
Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.
 
That’s Impresiv!