Healthcare Consultant I - SW Ohio

Job ID:  26-49394Position Type: Field and Telephonic BasedWork Type:Field Est. Pay Range: $27.16/hr. To $29.77/hr.Location: SW OHIO Counties: (Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fulton, Green, Hamilton, Hardin, Henry, Lawrence, Logan, Lucas, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Scioto, Shelby, Van Wert, Warren, Williams ) Monday –Friday 08: 00 am –05: 00 pm

• This is a full-time field-based teleworking position, in Ohio. This position requires the ability to travel within the assigned region of Northeast Ohio to member homes and other requested member locations, up to 50% or more of the time.
• Applicants may reside within the Northeast region of Ohio. Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fulton, Green, Hamilton, Hardin, Henry, Lawrence, Logan, Lucas, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Scioto, Shelby, Van Wert, Warren, Williams.
• Monday-Friday 8-5pm with flexibility needed to work later to meet member needs.

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 aberrances 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:

• 2+ years of experience in behavioral health, social services, or human services
• 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
• 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers.
• 2+ years’experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development.
• 2+ years of experience with Ohio delivery systems, including local community networks and resources

Education:

• Bachelor’s degree or non-licensed master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred. (i.E. Psychology, social work, marriage and family therapy, counseling, juvenile justice) 

Employee Benefits: At LanceSoft, full-time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:

• Four options of medical Insurance
• Dental and Vision Insurance
• 401k Contributions
• Critical Illness Insurance
• Voluntary Permanent Life Insurance
• Accident Insurance
• Other Employee Perks

You may respond to me via email but please be sure to include your direct phone number so I can reach out to you quickly. In considering candidates for our various positions, time is of the essence, and we are committed to responding to our clients promptly. Thank you for taking time out of your busy schedule to read and respond to this message. About LanceSoft: EEO Employer –Minorities/Females/Disabled/Veterans/Gender Identity/Sexual Orientation Headquartered in Herndon, Virginia, LanceSoft is one of the fastest growing IT services Company. We are geographically spread to cover all the 50 states in the US and our global software development centers have the capability and capacity to cater to our global client’s requirements in the most efficient manner. We have experienced exponential growth over the last few years and anticipate continuing to do so in the future as well. We have won numerous national, regional, and state awards for being one of the fastest growing companies in the US. Our prestigious client base comprises of a number of Fortune 500 companies. LanceSoft dynamic work environment and culture constantly nurtures innovation, strategic thinking, and creativity and is complemented by strict process controls across our delivery centers globally. With attractive compensation packages, positive and productive work environments, and challenging assignments to offer, LanceSoft is committed to being the employer of choice. We are committed not only to attracting and hiring top talent in the industry, but also developing and maintaining long-term relationships. LanceSoft recognizes true potential and provides people with the right opportunities. We offer a complete range of benefit packages to our employees which includes but is not limited to paid vacations, holidays, personal days, medical, dental and vision insurance, 401K savings plan, life insurance, disability insurance and many other attractive benefits.