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Job Description Remote never onsite but Field Work Willing and able to travel using your own vehicle 50-75%of their time to meet with members face to face in western Chicago suburbs and surrounding areas (Must have reliable transportation and a driver's license) Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources. Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness, Facilitates optimal outcomes, Identifies and follows 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 Responsibilities...using Zoom, email, and online tools Must be 18+ and authorized to work in the U.S. Motivated, reliable, and eager to learn What We... ...Customer Service Jobs Entry-Level Remote Jobs Work From Home Hiring Now Sales & Benefits Advisor No Experience Jobs Customer...
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