Our Client, a Retail Pharmacy company, is looking for a Field Case Management Coordinator for their City of Chicago- Southside, Southwest Suburban Cook, Will County, Kane County, Randolph County, St. Clair County, Clinton County location.
Responsibilities:
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
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Requirements:
Minimum 5 years of relevant experience
Bachelor's degree REQUIRED or non-licensed master-level clinician, with degree being in behavioral health or human services (psychology, social work, marriage and family therapy, nursing, counseling, etc.)