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Healthcare Consultant I - Central/Southeast OHIO
Hybrid
Full Time
Contract/Temp
Columbus, OH, 43215
22 -
22
Today
15132294
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Email
LinkedIn
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X (Formerly Twitter)
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Description
Job Title
Healthcare Consultant 1
Location
Central/Southeast Ohio
Position Description
This is a full-time field-based telework position, in Ohio. This position requires the ability to travel within the assigned region of Western Ohio to member homes and other requested member locations, up to 50% or more of the time.
Roles Responsibilities
• Collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
• Conduct comprehensive evaluation of referred member's needs/eligibility and recommend an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Coordinate and implement assigned care plan activities and monitor care plan progress.
• Consult with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives.
• Work collaboratively with the members' Child and Family Teams.
• Identify and escalate quality of care issues through established channels.
• Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
• Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Help member actively and knowledgably participate with their provider in healthcare decision-making.
• Serve as a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.
• Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Skills
• Bachelor’s degree or non-licensed master level clinician required.
• 2+ years of experience in behavioral health, social services, or human services.
• 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
• 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers.
• 2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development.
• 2+ years of experience with Ohio delivery systems, including local community networks and resources.
• Reliable transportation required.
• Willing and able to travel within the assigned region up to 50% of the time; some travel to the corporate office may be required for trainings/meetings.
• Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed.
Education
• Bachelor's degree or non-licensed master level clinician required, with degree being in behavioral health, human services, health services, or public health preferred (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice).
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Healthcare Consultant I - Central/Southeast OHIO
Copy job link
Email
LinkedIn
Whatsapp
X (Formerly Twitter)
Facebook
Hybrid
Full Time
Contract/Temp
Columbus, OH, 43215
22 -
22
Today
15132294
Description
Job Title
Healthcare Consultant 1
Location
Central/Southeast Ohio
Position Description
This is a full-time field-based telework position, in Ohio. This position requires the ability to travel within the assigned region of Western Ohio to member homes and other requested member locations, up to 50% or more of the time.
Roles Responsibilities
• Collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
• Conduct comprehensive evaluation of referred member's needs/eligibility and recommend an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Coordinate and implement assigned care plan activities and monitor care plan progress.
• Consult with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives.
• Work collaboratively with the members' Child and Family Teams.
• Identify and escalate quality of care issues through established channels.
• Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
• Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Help member actively and knowledgably participate with their provider in healthcare decision-making.
• Serve as a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.
• Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Skills
• Bachelor’s degree or non-licensed master level clinician required.
• 2+ years of experience in behavioral health, social services, or human services.
• 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
• 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers.
• 2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development.
• 2+ years of experience with Ohio delivery systems, including local community networks and resources.
• Reliable transportation required.
• Willing and able to travel within the assigned region up to 50% of the time; some travel to the corporate office may be required for trainings/meetings.
• Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed.
Education
• Bachelor's degree or non-licensed master level clinician required, with degree being in behavioral health, human services, health services, or public health preferred (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice).
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