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.