Healthcare Consultant II
6 days ago
Job Title: Healthcare Consultant II
Company: US Tech Solutions
Job Summary:
We are seeking a skilled Healthcare Consultant II to join our team at US Tech Solutions. As a key member of our healthcare services team, you will be responsible for providing comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve healthcare program/operational efficiency.
Key Responsibilities:
- Facilitate Optimal Outcomes: Determine medical necessity/appropriateness, identify and follow through with continuous quality/compliance opportunities, and educate/empower customers to ensure compliance, satisfaction, and promote patient advocacy.
- Manage Healthcare Costs: Optimize total costs, implement and evaluate policy based on usage and program directives, and educate/empower colleagues at all levels to enable decision making at the most appropriate level.
- Coordinate Case Management Activities: Assess, plan, implement, and coordinate all case management activities with members to evaluate the medical needs of the member and facilitate the member's overall wellness.
- Develop Proactive Course of Action: Develop a proactive course of action to address issues presented to enhance short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
Requirements:
- Clinical Experience: 3 years of clinical experience in med surg or behavioral health.
- Education: Associate's or Bachelor's in Nursing.
- Computer Skills: Proficiency with computer skills, including navigating multiple systems and keyboarding.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. We are an equal opportunity employer and welcome applications from diverse candidates.
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