Healthcare Consultant I Job at eTeam Inc
IND1
About the company
eTeam was formed in 1999 with the goal of becoming the company of choice for clients, talent and staffing professionals. Today, we’re one of the fastest-growing global companies and ranked as one of the best companies to work for by Staffing Industry Analysts. We aspire everyday to do quality work for our clients and help our talent work at some of the most amazing companies.
Job Title: Healthcare Consultant I
Location: Fredericksburg, VA
Pay Rate: 34.12/Hr on W2
Job Description:
- 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 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.
- 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.
Experience Required:
- 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.
Job Type: Contract
Salary: Up to $34.12 per hour
Work Location: One location
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