Case Management Coordinator

Job Description

Job Summary:

• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
• This is a full-time field-based telework position, in Ohio.
• This position requires the ability to travel within the assigned region of Western Ohio to member homes and other requested member locations, up to 50% or more of the time.
• Applicants must reside within the central/southeast counties of Ohio.

Duties & Responsibilities:

• 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.

Required Education & Experience:

• Bachelor’s degree or non licensed master level clinician required, with degree being in behavioral health, Human Services, health services or public health preferred such as psychology, social work, marriage and family therapy, counseling, or juvenile justice.
• Minimum 1 year of relevant experience.
• two years of experience with personal computers keyboard and multi systems and Microsoft Office suite applications such as outlook word excel and SharePoint two years of experience in behavioral health social services or Human Services preferred.