Healthcare Consultant I

4 months ago

Martinsville, United States eTeam Inc Full time



REFRESH of ***JP00091688


MAX BILL RATE: ***


MUST BE LOCATED IN MARTINSVILLE, VA OR WYTH COUNTY, VA AREAS. THERE ARE FTE STAFFED OUT OF ROANOKE, VA ALREADY, PLEASE KEEP FOCUS TO WYTH CO. AND MARTINSVILLE.


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 Healthcare. 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.


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


Duties:


Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review to achieve optimal outcomes. - Identifies and escalates quality of care issues through established channels. -Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs. - Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. -Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. -Helps member actively and knowledgably participate with their provider in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes incompliance with regulatory and accreditation guidelines and company policies and procedures.


Experience:


Minimum 1 year of relevant experience preferred

Case management and discharge planning experience preferred 2 years experience in behavioral health, social services or appropriate related field equivalent to program focus Managed Care experience preferred


Education:


Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling).

  • Healthcare Strategist

    4 weeks ago

    Martinsville, Virginia, United States eTeam Inc Full time

    Job SummaryeTeam Inc is seeking a skilled Healthcare Consultant I to join our team. As a key member of our healthcare services team, you will be responsible for developing and implementing strategies to drive quality healthcare outcomes and business growth.Key ResponsibilitiesHealthcare Strategy Development: Collaborate with cross-functional teams to design...

  • Healthcare Strategist

    2 weeks ago

    Martinsville, Virginia, United States eTeam Inc Full time

    Job SummaryeTeam Inc is seeking a skilled Healthcare Consultant to join our team. As a Healthcare Consultant, you will be responsible for developing, implementing, and promoting health services strategies, policies, and programs that drive the delivery of quality healthcare.Key ResponsibilitiesHealth Services Strategy Development: Develop and implement...

  • Counselor

    3 months ago

    Martinsville, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job DescriptionJob DescriptionCounselor (Full-time HYBRID)3 days in office, 2 days remote$8,000 Sign On BonusWe offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth.As a Counselor, you will oversee all aspects of a patient’s treatment. You will be responsible for the coordination and continuity of care...

  • Counselor

    3 weeks ago

    Martinsville, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job DescriptionJob DescriptionCounselor$8,000 Sign On Bonus!We offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth.Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 30,000 patients daily. Our mission is to...

  • Counselor

    4 weeks ago

    Martinsville, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job DescriptionJob DescriptionCounselorWe offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth.Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 30,000 patients daily. Our mission is to remove all barriers to...

  • Psychiatric Nurse Practitioner

    3 weeks ago

    Martinsville, Indiana, United States Pinnacle Treatment Centers KY-I LLC Full time

    Job SummaryWe are seeking a highly skilled Psychiatric Nurse Practitioner to join our team at Pinnacle Treatment Centers KY-I LLC. As an APRN, you will play a critical role in providing comprehensive treatment services to patients struggling with addiction.Key ResponsibilitiesMonitor and dispense medication-assisted therapy to patients in coordination with...

  • Advanced Practice Registered Nurse

    1 month ago

    Martinsville, Indiana, United States Pinnacle Treatment Centers KY-I LLC Full time

    Position OverviewPsychiatric Nurse PractitionerPinnacle Treatment Centers KY-I LLC is a prominent provider in the field of addiction recovery services, recognized nationally for our commitment to patient care and innovative treatment solutions.Our mission is to eliminate barriers to recovery, positively impacting the lives of individuals, families, and...

  • Healthcare Support Specialist

    4 weeks ago

    Martinsville, Indiana, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job OverviewPosition: Medical Assistant (5a-1:30p)We provide competitive compensation, comprehensive benefits, Paid Time Off, and avenues for professional advancement.*Position available in our Outpatient Treatment facility* As a Medical Assistant, your role will involve administering and coordinating essential medical services while fostering a positive...

  • Healthcare Support Specialist

    1 month ago

    Martinsville, Indiana, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job OverviewPosition: Medical Assistant (5a-1:30p)We provide competitive compensation, comprehensive benefits, Paid Time Off, and avenues for professional advancement.As a Medical Assistant, your role will involve administering and coordinating essential medical services while fostering a positive experience for patients within the facility. You will also...

  • Healthcare Support Specialist

    1 month ago

    Martinsville, Indiana, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job OverviewPosition: Medical Assistant (5a-1:30p)We provide competitive compensation, comprehensive benefits, and opportunities for career advancement.As a Medical Assistant, your role will involve delivering and managing essential medical services while fostering a supportive patient environment. You will undertake various routine administrative and...

  • Respiratory Therapist PRN Tier I

    3 weeks ago

    Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Job SummarySovah Health - Martinsville is seeking a skilled Respiratory Therapist PRN Tier I to join our team. As a Respiratory Therapist PRN Tier I, you will be responsible for providing high-quality patient care and working closely with our healthcare team to ensure the best possible outcomes for our patients.Key ResponsibilitiesProvide Respiratory Care:...

  • RN, ICU, PRN I

    2 months ago

    Martinsville, United States Sovah Health Full time

    Registered Nurse, RN - ICU Shift: PRN - Tier I - Minimum 1 shift/pay period, 1 weekend shift/month based on staffing needs, 1 holiday/year *Must have a minimum or 18 months of RN hospital experience * Your experience matters At SOVAH Danville, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others....

  • Entry-Level Healthcare Position

    3 months ago

    Martinsville, United States Care Advantage Inc Full time

    Job DescriptionJob DescriptionIf you are looking to start your career in healthcare, we want to help! Care Advantage, Inc. is looking to hire full- and part-time PCA / Caregivers to provide in-home care services to our clients in the Martinsville, VA area. We are a client-driven company with a mission to lift up every community we serve, enable aging adults...

  • Respiratory Therapist PRN Tier I

    3 weeks ago

    Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    About the RoleSovah Health - Martinsville is seeking a skilled Respiratory Therapist to join our team on a PRN basis. As a Respiratory Therapist, you will play a vital role in providing high-quality patient care and contributing to the success of our healthcare organization.Key ResponsibilitiesConduct diagnostic testing and examinations to assess patients...

  • Emergency Department RN

    2 weeks ago

    Martinsville, Virginia, United States Sovah Health Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our Emergency Department team in a PRN Tier I role. As a key member of our healthcare team, you will provide high-quality patient care and contribute to a positive patient experience.Key ResponsibilitiesDeliver patient-centered care, including medication administration, specimen collection, and...

  • Emergency Department RN

    1 week ago

    Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our Emergency Department team in a PRN I role. As a key member of our healthcare team, you will provide high-quality patient care and contribute to a positive patient experience.Key ResponsibilitiesDeliver patient-centered care, prioritizing the needs of patients and familiesCollaborate with...

  • Nurse - APRN

    4 weeks ago

    Martinsville, United States Pinnacle Treatment Centers KY-I LLC Full time

    Job DescriptionJob DescriptionSearching for a Psychiatric Nurse PractitionerWe offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth.Pinnacle Treatment Centers is a nationally recognized leader in addiction treatment services that has been featured in publications such as: LA Times, NBC Today, US News,...

  • Nurse - APRN

    3 months ago

    Martinsville, United States Pinnacle Treatment Centers KY-I LLC Full time

    Job DescriptionJob DescriptionPsychiatric Nurse PractitionerWe offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth.Pinnacle Treatment Centers is a nationally recognized leader in addiction treatment services that has been featured in publications such as: LA Times, NBC Today, US News, Health Digest,...

  • Residential Care Specialist

    2 days ago

    Martinsville, Indiana, United States Pinnacle Treatment Centers IN - I LLC Full time

    About Pinnacle Treatment CentersPinnacle Treatment Centers is a leading provider of comprehensive addiction treatment services, committed to transforming lives through compassionate care. Our approach is rooted in evidence-based practices, focusing on the holistic well-being of our patients, and treating our teammates with the same level of individualized...

  • Assistant Clinical Director

    3 months ago

    Martinsville, United States Pinnacle Treatment Centers IN - I LLC Full time

    Job DescriptionJob DescriptionAssistant Clinical DirectorWe offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.The Assistant Clinical Director will work in tandem with the Clinical Director to provide effective leadership to clinical teammates. This position assists the Clinical Director in clinical...