Case Management Consultant

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 western Chicago suburbs and surrounding areas (Must have reliable transportation and a driver's 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 follows 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

Responsibilities:

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 2 year of relevant experience in behavioral health or social services field, or human services.

Must have 2+ years of experience in case management.

Must be willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in western Chicago suburbs and surrounding areas.

Must have reliable transportation and a driver's license. Education:

Bachelor's degree in social services, human services, or behavioral health.