*healthcare consultant i-case management consultant - south chicago, il - united states, woonsocket

adecco is currently assisting a national pharmaceutical client, recruiting for a healthcare consultant i – case management consultant in south chicago, il. this role is hybrid model: with remote and travel (must reside in and willing to travel within south chicago, il). the pay is 34.83/hour. the schedule is monday-friday 8am-5pm est. apply now!

 

case management consultant duties are:

the case management consultant provides comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues. the primary responsibilities are as follows:

 

  • 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
  • candidates must meet the following requirements to be considered:

    required qualifications:

     

    - 2+ years’ experience in behavioral health, social services or human services or related field
    - 2+ years of case management experience

    - 1+ year(s) computer proficiency in microsoft word, excel, and outlook

     

    preferred qualifications:

     

    - mco experience

    - waiver experience


    education:

  • bachelor’s degree or higher in social work or related field
  •  

    click on apply now for instant consideration!

     



    equal opportunity employer/veterans/disabled



    the company will consider qualified applicants with arrest and conviction records


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    United States, Woonsocket ,Rhode Island
    2022-06-24
    2022-07-24
    1639504
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