Case Management Consultant

US Tech Solutions; Chicago (IL); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated healthcare coordinator to provide essential care management services. This role involves facilitating optimal healthcare outcomes for members in the western Chicago suburbs, ensuring compliance, and promoting patient advocacy. The ideal candidate will have a strong background in social services or behavioral health, with at least two years of case management experience. Join a dynamic team that values your contributions and empowers you to make a meaningful impact in the lives of others. If you're passionate about healthcare and ready to travel, this is the perfect opportunity for you.

Qualifications

• 2+ years of experience in behavioral health or social services.
• Experience in case management is required.

Responsibilities

• Determine medical necessity and appropriateness for members.
• Facilitate optimal healthcare outcomes and compliance.
• Educate and empower customers and colleagues.

Skills

Care Coordination

Healthcare Management

Patient Advocacy

Quality Compliance

Education

Bachelor's degree in social services

Bachelor's degree in human services

Bachelor's degree in behavioral health

Job description

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:

• Minimum 2 year of relevant experience in behavioral health or social services field, or human services.
• Must have 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.

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. 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.