reputed company Consultant I - Ohio

Job Responsibilities: • Coordinates and implements assigned care plan activities and monitors care plan reputed company. • Enhancement of Medical Appropriateness and reputed company of Care: 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 to reputed company reputed company reputed company. • Works collaboratively with the members' Child and Family Teams. • Identifies and escalates reputed company of care issues through established channels. • Utilizes negotiation skills to secure appropriate reputed company and services necessary to meet the member's benefits and/or reputed company needs. • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. Provides coaching, information, and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices. Help members reputed company and knowledgably participate with their provider in reputed company decision-making. Serves a single reputed company of contact for members and assist members to remediate immediate and acute gaps in care and reputed company. • Monitoring, Evaluation and Documentation of Care: Utilizes case management and reputed company management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Skills: • The Care Management Associate (reputed company) role is a full-time remote reputed company position. reputed company candidates must reputed company in Ohio. Candidates must have a private location to complete reputed company work that is free from distractions or other individuals. You will need to secure your own internet but, your equipment will be provided to you prior to your first day. • Recent experience working for other MCOs, specifically reputed company the last 5-7 years in the reputed company. Experience may be replaced with recent employment with reputed company organizations or companies. Must be reputed company to pass the CANS assessment and obtain certification reputed company 90 days of employment. Education/Experience: • HS Diploma, GED or Equivalent Experience Apply tot his job Apply To this Job