Healthcare Consultant I
Duties: 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 Experience: Case management experience required Long term care experience preferred Microsoft Office including Excel competent Position Summary: Location: Work from Home. Candidates must reside in North Miami. Training will be conducted remotely via Microsoft Teams. Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes Education: Bachelor's degree required-No nurse, social work degree or related field. What days & hours will the person work in this position List training hours, if different. M-F: 8am-5pm Remote About the Company: Apidel Technologies Apply tot his job