Job Description
Here are the job details for your review:
Job Title: Healthcare Consultant III
Duration: 3+ Months Contract (Potential for extension)
Location: Remote (OH)
Pay Rate:$40.49/ HR on W2
Shift Hours: 8am-5 pm EST
Description:
This role will be primarily WFH, and you can source candidates from anywhere in OH. There might be some possible travel needed. If it is, travel assignments will be based on the location of the candidates hired - so you may submit candidates anywhere in OH. Travel will be minimum and likely more toward later in the year if needed.
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 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 5 years of relevant experience
Education
Master's Degree in Social Work