Healthcare Consultant (Remote/Field)
Miami Dade County, FL US | Work from home flexibility TELECOMMUTE US
Job Description
Job Title: Healthcare Consultant (Remote/Field)
Location: Must reside in the Miami-Dade area
Shift: MON-FRI 8AM-5PM
Pay: $34.13/hr.
Scheduled Pay: Bi-Weekly
Benefits: Health, Dental, Vision, Life Insurance, and short-term disability after 90 days
For more information, please contact Breanna Drollinger Direct Line at 586-710-7972 (call /text)
Healthcare Consultant Description/Duties
- 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
Healthcare Consultant Requirements
- Bachelors Degree in Social Work, Human services, or related required
- Social Workers preferred
- Case management experience required
- Long term care experience STRONGLY preferred
- Bilingual (English/Spanish) STRONGLY preferred
- High School Diploma or GED
JOB ID# 135353
Keywords: healthcare consultant, case management, utilization review, social work, social workers, long-term care, bilingual, English, Spanish, total costs, MEDICARE, MEDICAID, compliance, quality of care, medical necessity, appropriateness of care, patient advocacy, medical policy, healthcare treatment, patient residence, nursing home, patient education, family education
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