Healthcare Cse Manager - Polo, United States - US Tech Solutions, Inc.
Description
Position Summary:
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 Ogle County and surrounding areas (Must have reliable transportation and a valid drivers license)
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
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
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
Chicago and surrounding areas (Must have reliable transportation and a drivers license)
Education
Bachelor's degree in social services, human services or
behavioral health.
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.
US Tech Solutions is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.