Healthcare Consultant II in Ohio - Remote

Amicis Global Technologies; Kentucky; Remote; USD 75,000 - 90,000; Full time

Job summary

A healthcare consultancy firm is seeking a Healthcare Consultant II to provide comprehensive healthcare management services. This fully remote position requires a Bachelor’s or Master’s degree in Social Work and a license for Ohio. Responsibilities include determining medical necessity and educating customers to promote patient advocacy. The ideal candidate will have at least 3 years of relevant experience and a focus on quality compliance.

Qualifications

• Minimum 3 years of relevant experience.
• License in Social Work for Ohio.

Responsibilities

• Determines medical necessity and appropriateness.
• Facilitates optimal outcomes.
• Identifies quality/compliance opportunities.

Skills

Healthcare management

Quality compliance

Patient advocacy

Education

Bachelor's or Master's degree in Social Work

Job description

Overview

Job Title: Healthcare Consultant II
Location: Ohio - Remote
Duration: 3 Months + Extensions

Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, manage healthcare costs and improve program/operational efficiency involving clinical issues.

Responsibilities

• Determines medical necessity/appropriateness
• Facilitates optimal outcomes
• Identifies and follows through with continuous quality/compliance opportunities; may include identification of aberrancies 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 the most appropriate level

Experience

• Minimum 3 years of relevant experience

Education

• Bachelor 2s or Master a0s degree in Social Work with license in Social Work for OH

Work Schedule

Mon-Fri 8a-5p

Onsite/Remote

Fully remote (never coming onsite)

Additional Information

Status: Remote position; multiple job postings and related roles may be listed on the site.