Healthcare Consultant II in Ohio - Remote in Ohio at Amicis Global

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:
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 3 years of relevant experience

Education:
Bachelor's or Master's degree in Social Work with license in Social Work for OH

What days & hours will the person work in this position? List training hours, if different.
Mon-Fri 8a-5p

Onsite Requirements:
Fully remote (never coming onsite)