Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in South Chicago (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
Determines medical necessity/appropriateness; facilitates optimal outcomes; identifies and follow through with continuous quality/compliance opportunities. May also include identification of abeyance'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
