What are the responsibilities and job description for the Healthcare Consultant I position at Integrated Resources?
Job Title : Healthcare Consultant I
Job Location : Macon County, Remote plus travel, IL, 62544
Job Duration : 6 Months
Shift timings : Mon - Fri 8 AM - 5 PM
Pay range : $32 - $34.12 / hr. on W2
Shift : Monday-Friday 8 am - 5 pm
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 :
Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in Macon co. and surrounding counties.
IL and surrounding areas (Must have reliable transportation and a driver's license)
Facilitate appropriate healthcare outcomes for waiver / LTSS members by providing care coordination, support and education for members using 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 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
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 aim Macon County and surrounding areas (Must have reliable transportation and a driver's license).
Education :
Bachelor's degree in social services, human services, or behavioral health.
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