Case Management Consultant

Overview

Remote role; never onsite but field work. Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in western Chicago suburbs 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 follows 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.

• Determines medical necessity/appropriateness
• Facilitates optimal outcomes
• Identifies and follows 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

• Minimum 2 years of relevant experience in behavioral health or social services field, or human services
• 2+ years of experience in case management
• Must be willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in western Chicago suburbs and surrounding areas
• Must have reliable transportation and a driver’s license

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

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US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.