Healthcare Consultant II
3 weeks ago
Position Summary:This will be a full-time telework role in Kansas, however, will require 50-75% travel for face-to-face visits in assigned area once COVID restrictions are lifted. Schedule is Monday-Friday, standard business hours. Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.Job Duties: Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Experience:1+ year(s) behavioral health, social services, or human services field. Education:Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, rehabilitation, social work, marriage and family therapy, counseling).
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Kansas Facility Needs a Locums Hospitalist
3 weeks ago
Atchison, United States Weatherby Healthcare Full timeIf this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details.Willing to wait for licenseBC requiredCall, Weekend callACLS and BLS required10 - 15 patient encounters per day, 0 - 3 consultation calls overnightPatient encounters, consultation callsCredentialing neededDEA neededPaid malpractice...
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Atchison, United States Weatherby Healthcare Full timeEnjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consultants today for available dates and details.Willing to wait for licenseBC requiredDays, Call, Flexible, 12-hour shiftsACLS and BLS required10 - 15 patient encounters per day, 0 - 3 consultation calls overnightPatient encounters...
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Kansas Facility Needs a Locums Hospitalist
3 weeks ago
Atchison, United States Weatherby Healthcare Full timeStart Date: ASAPIf this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details.Willing to wait for licenseBC requiredCall, Weekend callACLS and BLS required10 - 15 patient encounters per day, 0 - 3 consultation calls overnightPatient encounters, consultation callsCredentialing neededDEA neededPaid...
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Atchison, United States Weatherby Healthcare Full timeStart Date: ASAPEnjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consultants today for available dates and details.Willing to wait for licenseBC requiredDays, Call, Flexible, 12-hour shiftsACLS and BLS required10 - 15 patient encounters per day, 0 - 3 consultation calls...
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Emergency Medicine
6 days ago
Atchison, United States Weatherby Healthcare Full timeEmergency Medicine physician job in Kansas : Weatherby Healthcare is currently seeking a Emergency Physician in KSIf you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details.Willing to wait for licenseBC or BE requiredDays, Nights, SwingsACLS, ATLS, BLS and PALS requiredCredentialing...
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Atchison, United States Weatherby Healthcare Full timeIf you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details.Willing to wait for licenseBC or BE requiredDays, Nights, SwingsACLS, ATLS, BLS and PALS requiredCredentialing neededDEA neededPaid malpractice insurance; pre-paid travel and housing expensesAssignment details and time entry in...
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Atchison, United States Weatherby Healthcare Full timeStart Date: ASAPIf you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details.Willing to wait for licenseBC or BE requiredDays, Nights, SwingsACLS, ATLS, BLS and PALS requiredCredentialing neededDEA neededPaid malpractice insurance; pre-paid travel and housing expensesAssignment details...
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Atchison, United States HealthEcareers - Client Full timeEnjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consultants today for available dates and details.Willing to wait for licenseBC requiredDays, Call, Flexible, 12-hour shiftsACLS and BLS required10 - 15 patient encounters per day, 0 - 3 consultation calls overnightPatient encounters...
