Healthcare Consultant II

Healthcare Management ServicesProvide 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.Minimum 2 years of relevant experience.Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required.Case management, Behavioral health, social services, Travel.