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Healthcare Consultant II
2 weeks ago
Job title : Healthcare Consultant II
Location: Richmond ,VA, 23223
Duration: 0-6 Months+
Shift: M-F 8-5 PM
Need candidates from Northern Richmond in areas like Henrico, Lakeside, Tuckahoe Counties.
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.
Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrances 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
Duties:
- Determines medical necessity/ appropriateness.
- Facilitates optimal outcomes.
- Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrances 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.
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