Job Title: Healthcare Consultant II
Location: Ohio - Remote
Duration: 3 Months + Extensions
Position Summary:
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively
manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Duties:
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 3 years of relevant experience
Education:
Bachelor's or Master's degree in Social Work with license in Social Work for OH
What days & hours will the person work in this position? List training hours, if different.
Mon-Fri 8a-5p
Onsite Requirements:
Fully remote (never coming onsite)
#CareerBuilder #Monster #Dice #Indeed #LinkedIn
...We are looking for a talented and enthusiastic Salesforce Developer to join our innovative team. Your role will involve creating and maintaining custom solutions using Apex and Lightning Web Components (LWC). You will design, develop, test, and deploy high-quality applications...
...create an environment where our employees are proud to work and can make a positive impact.Role Overview The Security Incident Communications Manager, as part of our Security Incident Command team, is responsible for leading clear, timely, and accurate communications during...
...Description Are you ready to take on a leadership role in a fast-paced, cutting-edge environment? We are looking for a System Integration Test Engineer to join our team at a top consumer electronics company in Cupertino, CA! This is your chance to work with industry...
**Position Summary...****What you'll do...****About Walmart Business**Walmart Business is a new initiative to save businesses, nonprofits... ...organizations.The organization is currently seeking a Senior Manager who will target small to mid-sized business sales within the...
...Coordinate onboarding paperwork and I-9 and background process. Assist in the management and utilization of our Applicant Tracking System (ATS - Workday) Screen resumes and applications to identify potential candidates. Support Recruiters and hiring managers throughout...