*Healthcare Consultant I

  • Sector: MRS Medical
  • Contact: Marie Nellas
  • Duration: 3 Months
  • Start Date: 01/23/2021
  • Client: Medical Recruitment Strategies
  • Location: Woonsocket, United States of America
  • Salary: Negotiable
  • Expiry Date: 17 April 2023
  • Job Ref: BBBH411301_1673995886
  • Contact Email: mnellas@medicalrecruitmentstrategies.com

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

REQUIRED:

Case management experience A MUST / Case Management Certificate ( Preferred)
** Long term care experience (Preferred)
***Microsoft Office including Excel competent
** Bilingual - Spanish / English (required)

Bachelor's degree required - Social work degree or related field preferred.