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Healthcare Consultant III

Integrated Resources

Job Title: Healthcare Consultant III
Job Duration:6+ Months (Possibilities of extension)
Job Location: Louisville, KY 40201
Shift: M-F 8am to 5pm with flexibility to work until 7pm.

Looking for Kentucky. Must reside in Jefferson County.

Job Description
  • Evaluation of Members:
  • 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.
  • Monitoring, Evaluation and Documentation of Care:
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications :
  • Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services or evidence-based practices applicable to the Kentucky SKY populations, is required.
  • Minimum 2 year of experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
  • Minimum 1 year of experience in MS Office Suite applications, including Word and Excel.
  • Willing and able to travel 80-90% of their time to meet members face to face in their assigned region.
  • Candidate must reside in: Jefferson County
  • Preferred Qualifications
  • 3+ years' experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
  • 1+ Client O experience.
Experience:
  • Minimum 5 years of relevant experience
Education:
  • Minimum of a Bachelor's Master's degree or a non-licensed master level clinician is required; with either degree being in behavioral health or a relevant human services field of study required (social work, psychology, marriage and family therapy, co
Vacancy posted 1 day ago
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