Job Description
Our Client, a Retail Pharmacy company, is looking for a Healthcare Consultant I for their Columbus, OH/Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
- Works collaboratively with the members' Child and Family Teams.
- Identifies and escalates quality of care issues through established channels.
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Helps member actively and knowledgably participate with their provider in healthcare decision-making.
- Serves a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.
- Monitoring, Evaluation and Documentation of Care:
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
- 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
Requirements:
- Minimum 1 year of relevant experience
- Bachelor’s degree or non-licensed master level clinician required
- Verifyable High School Diploma or GED Required
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Franklin, OH |
| Industry | Management Consulting Services |
| Salary | $27.16 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.
Skills
- Behavioral Healthunmatched
- Case Managementunmatched
- Coachingunmatched
- Consultingunmatched
- Corporate Policiesunmatched
- Corrective Actionunmatched
- Cost Controlunmatched
- Customer Trainingunmatched
- Documentationunmatched
- Follow Throughunmatched
- Health Planunmatched
- Healthcareunmatched
- Healthcare Providersunmatched
- Maintain Complianceunmatched
- Negotiation Skillsunmatched
- Patient Care Authorizationsunmatched
- Pharmacyunmatched
- Policy Analysisunmatched
- Quality Managementunmatched
- Quality of Careunmatched
- Regulatory Complianceunmatched
- Retailunmatched
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