Case Management Consultant

Job Description :

Remote 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 aberrance's 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

Responsibilities :

• Determines medical necessity / appropriateness
• Facilitates optimal outcomes
• Identifies and follow through with continuous quality / compliance opportunities.
• May also include identification of aberrance's 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 :

Education :

About US Tech Solutions :

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

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.