Healthcare Consultant II

US Tech Solutions • Springfield, IL

2d • Onsite

About The Position

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, and identifies and follows through with continuous quality/compliance opportunities. May also include identification of aberrances and initiation of corrective action. Educates/empowers customers to ensure compliance, satisfaction, and promote patient advocacy. Optimizes total costs. Implements and evaluates policy based on usage and program directives. Educates/empowers colleagues at all levels to enable decision-making at the most appropriate level.

Requirements

• Minimum 2 years of relevant experience
• Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required
• Case management
• Behavioral health
• Social services
• Travel

Responsibilities

• Determines medical necessity/appropriateness
• Facilitates optimal outcomes
• Identifies and follow through with continuous quality/ compliance opportunities
• May also include identification of aberrances 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level