Location: within Lake County/McHenry County
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 Lake and McHenry Counties Illinois (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 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
Qualifications:
- Minimum of 2 years of experience in behavioral health or social services field or human services.
- Must have 2+ years of experience in case management
Schedule: Mon-Fri 8am-5pm CST
Period: 03/13/2023 to 09/12/202
Work set-up: Remote with 50% - 75% travel
