Description:
*Must list location on the top of the resumes.
Remote now but will return to on site visits
Minimum of 2 years of experience in behavioral health or social services field.
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred
**Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in Rockford, IL and surrounding areas - Must have reliable transportation and Valid Drivers license.
Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.
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
