Healthcare Consultant I – Rockford Area

Duration: _____ Months/__06 Months__weeks

• 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.

Experience: Minimum 1 year of relevant experience.

• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.
• Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face (Must have reliable transportation and a valid driver’s license)

Education: Bachelor Degree in Social Services, Human Services or Behavioral Health.

Experience Required: 02-03+ Years.

Shift: 01st