​​​​Job Description:

• *Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in South Chicago (must have reliable transportation and a valid drivers license).

• 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 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.

Must Have:

• Client Caremark Requirements

• Verifyable High School Diploma or GED Required

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:

• Minimum of 2 years of experience in behavioral health or social services field or human services.

• Must have 2+ years of experience in case management.

Position Summary:

• *Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in South Chicago - Must have reliable transportation and a drivers license

• Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.

• 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 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.

Education:

• Bachelor's degree in social services, human services or behavioral health.

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities.

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.