Position Summary:
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Duties:
- Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face in north Chicago and surrounding areas (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
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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
-Willing and able to travel using your own vehicle 50-75%
of their time to meet with members face to face in Peoria, IL and surrounding areas. (Must have reliable
transportation and a drivers license)
Education:
Bachelor's degree in social services, human services or
behavioral health.
About NTT Data Services:
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($25-34.00 hour). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.