Location:
within the Whiteside county, IL and surrounding areas
The zips we're targeting would be:
61037, 61071, 61081, 61230, 61243, 61250, 61251, 61252, 61261, 61270, 61277, 61283.. this isn't exhaustive, but generally these are the zips, and some surrounding these.
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 Whiteside County and surrounding areas (Must have reliable transportation and a valid drivers license)
Schedule :
Mon to Fri 8am to 05pm
Requirements :
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
Responsibilities :
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
