Healthcare Consultant I- Case Management Consultant - North Chicago

Duration: _____ Months/__12 Months__weeks.

• 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 in north side of Chicago and surrounding areas (Must have reliable transportation and a driver’s license)

Skills: Must Have      

• Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in north Chicago 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 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 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 the most appropriate level.

Minimum Qualifications

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

Experience Required: 01+ Years.

Shift: 8-hour days, 5-days per week