Healthcare Consultant

Leavenworth county , KS

Posted: 02/05/2024 Job Number: TW00021

Job Description

A-Line Staffing is now hiring Bachelor Level Behavioral Health Professional in Saline county, KS . The Health Consultant would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.

If you are interested in this Health Consultant , please contact Tamya Walker at 586-422-1675

Health Consultant Compensation

  • The pay for this position per hour is $29.45/hr
  • Benefits are available to full-time employees after 90 days of employment
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

For more information please contact Tamya Walker Direct Line 586-422-1675 (call / text)

Health Consultant Highlights

  • This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
  • The required availability for this position is Monday through Friday 8:00am - 5:00pm EST
  • Willing and able to travel up to 50%-75% locally to meet members face to face in Crawford County KS and surrounding areas/counties.

For more information please contact Tamya Walker Direct Line 586-422-1675 (call / text)

Health Consultant Responsibilities

  • Responsible for the review and evaluation of clinical information and documentation.
  • Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
  • Works Potential Quality of Care cases across all lines of business Commercial and Medicare
  • Independently coordinates the clinical resolution with internal/external clinician support as required.
  • Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations.
  • Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.

Job Requirements

For more information please contact Tamya Walker Direct Line 586-422-1675 (call / text)

Health Consultant Requirements

  • 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).
  • 1-year Experience in Home and Community based services (HCBS) waiver.
  • Managed Care experience preferred

If you think this Health Consultant position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

If you are interested in this Health Consultant position , please contact Tamya Walker at 586-422-1675

 

Key words: Health Consultant, remote ,clinical, case management, clinical judgment, claims, clinical tools

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