We are seeking a dedicated and professional Case Management Healthcare Consultant to join our team. This role involves providing comprehensive healthcare management services to ensure appropriate healthcare treatment, manage healthcare costs effectively, and enhance the efficiency of healthcare programs and operations. The position requires a blend of remote work and local travel within the Richmond, VA area.
Key Responsibilities
Deliver comprehensive healthcare management services to facilitate appropriate treatment and manage healthcare costs effectively.
Ensure optimal outcomes by determining medical necessity and appropriateness of treatments.
Identify and follow through with continuous quality and compliance opportunities.
Address and correct any identified discrepancies.
Educate and empower customers to ensure compliance, satisfaction, and patient advocacy.
Optimize total healthcare costs and implement policy based on program directives and usage.
Educate and empower colleagues at all levels to enable informed decision-making.
Requirements
Bachelor's degree or a non-licensed master's level clinician degree in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) preferred.
Experience in case management and discharge planning.
Minimum of 2 years' experience in behavioral health, social services, or a related field.
Additional Information
Job ID: 135881
Keywords: Healthcare consultant, field case manager, case manager coordinator, managed care, remote work, assessments, Medicaid, Medicare, patient advocacy, benefit plan, health needs, community resources, disabilities, elderly care, geriatric care, in-home care, nursing facility, local travel, home visits, member eligibility, care plan coordination.
About Us
We are a leading staffing and employment agency with over 1,000 employees, established in 2004. Our commitment is to connect talented professionals with top-tier opportunities, fostering career growth and development.
Join our team and make a meaningful impact in the healthcare industry by improving patient care and optimizing healthcare management. Apply today!
Employment Type: Full-Time
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Human Resources Services
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