Case Management Consultant

US Tech Solutions; Chicago (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A global staff augmentation firm is seeking a professional for a remote healthcare management role. The position emphasizes care coordination and requires travel in the Chicago suburbs. Candidates must possess a Bachelor's degree in social services or related fields and have at least 2 years of relevant experience. The role involves determining medical appropriateness and optimizing healthcare outcomes.

Qualifications

• Minimum 2 years of relevant experience in behavioral health or social services.
• 2+ years of experience in case management.
• Must have reliable transportation and a driver's license.

Responsibilities

• Determine medical necessity/appropriateness.
• Facilitate optimal outcomes.
• Identify and follow through with continuous quality opportunities.

Skills

Case management

Healthcare coordination

Patient advocacy

Quality compliance

Education

Bachelor's degree in social services, human services, or behavioral health

Job description

Overview

Remote role; 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 aberrances 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 follows through with continuous quality/compliance opportunities
• May also include identification of aberrances 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 years of relevant experience in behavioral health or social services field, or human services
• 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.