Position Summary 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 aberrations 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 Determines medical necessity/appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/compliance opportunities. May also include identification of aberration'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 Education Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required Skills Case management, Behavioral health, social services, Travel 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. To know more about US Tech Solutions, please visit . 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. #J-18808-Ljbffr
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