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 aberrances 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.
Duties:
Education:
Skills:
About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Healthcare Consultant II • Springfield, IL, United States
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