Healthcare Consultant I – Rockford, IL Area

Duration: _____ Months/__12 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

Skills: Must Have      

• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively.
• Manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.

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