Position Summary:Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectivelymanage healthcare costs and improve healthcare program/operational efficiency involving clinical issuesDuties:Determines medical necessity/ appropriatenessFacilitates optimal outcomesIdentifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective actionEducates/ empowers customers to ensure compliance, satisfaction and promote patient advocacyOptimize total costsImplementation and evaluation of policy based on usage and program directivesEducate/empower colleagues at all levels to enable decision making at most appropriate levelExperience :Bachelor’s degree or non-licensed master level clinician required2+ years of experience in behavioral health, social services, or human services2+ 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+ year 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).Notes:Monday-Friday 8am-5pm EST with the ability to work later for member needs
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