Healthcare management Jobs in Louisville, KY

Job Title : Healthcare Consultant

Schedule :   Qualified candidate must have reliable transportation. Qualified candidates must reside in Kentucky. Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm EST is required. We are serving the needs of children and families that may require working after school, after work, etc

Estimated Duration : 6 Months

Pay Rate : $29.00

Position Summary : Better Health is hiring for multiple openings across the state / regions of Kentucky. Case Management Coordinator (CMC) utilizes critical thinking and professional judgment to support the case management process, in order to facilitate and maintain improved healthcare outcomes for members by providing advocacy, collaboration coordination, support and education for members through the use of care management tools and resources. This is a telework position

Duties :

• Evaluation of Members : - Through the use of care management assessments and information / data review, recommends an approach to resolving care needs maintaining optimal health and well-being by evaluating member’s benefit plan and available internal and external programs / services.
• Identifies high risk factors and service needs that may impact member outcomes and implements early and proactive support interventions.
• Coordinates and implements Wellness care plan activities and monitors member care needs.
• Enhancement of Medical Appropriateness and Quality of Care : Using holistic approach consults with case managers, supervisors, Medical Directors and / or other 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.
• 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.

Experience :

Education : Minimum of a Bachelor's degree or a non-licensed master level clinician is required with either degree being in behavioral health or human services field.

Employment Type : Full Time

Salary : $28 - $29 Hourly

Bonus / Commission : No