Healthcare Consultant II - , KS, US, United States - eTeam Inc.

Description

Job Title - Healthcare Consultant II - Kansas

Duration: 2 months


Location:
Johnson County, KS

Shawnee County, KS
Sedgwick County, KS


Shift Notes:
Days: M-F 8-5


Pay rate:
$29.45/hr. to $30/hr.

LN_ET


Job Description:

Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/ormeeting needs by evaluating member's benefit plan and available internal and external programs/services.

Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate
Coordinates and implements assigned care plan activities and monitors care plan progress.

Enhancement of Medical Appropriateness and Quality of Care:

Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.

Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.

Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.

Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Helps member actively and knowledgably participate with their provider in healthcare decision-making.

Monitoring, Evaluation and Documentation of Care:
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures


Requirement:
1+ year(s) behavioral health, social services, or human services field.
Willing and able to travel up to 50%-75% locally to meet members face to face
Must have reliable transportation.
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral
health or human services preferred (psychology, rehabilitation, social work, marriage and family therapy,
counseling).% % %%medinfo%%