Job Title: Healthcare Consultant III
Job Duration:6+ Months (Possibilities of extension)
Job Location: Louisville, KY 40201
Shift: M-F 8am to 5pm with flexibility to work until 7pm.
Looking for Kentucky. Must reside in Jefferson County.
Job Description
- Evaluation of Members:
- 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.
- Monitoring, Evaluation and Documentation of Care:
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Required Qualifications :
- Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services or evidence-based practices applicable to the Kentucky SKY populations, is required.
- Minimum 2 year of experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
- Minimum 1 year of experience in MS Office Suite applications, including Word and Excel.
- Willing and able to travel 80-90% of their time to meet members face to face in their assigned region.
- Candidate must reside in: Jefferson County
- Preferred Qualifications
- 3+ years’ experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
- 1+ Client O experience.
Experience:
- Minimum 5 years of relevant experience
Education:
- Minimum of a Bachelor’s Master’s degree or a non-licensed master level clinician is required; with either degree being in behavioral health or a relevant human services field of study required (social work, psychology, marriage and family therapy, co