About the company

Computech Corporation has over twenty years’ experience providing contract, temporary and direct hire staffing services. We successfully work with public and private sector entities nationwide and offer staffing solutions for Information Technology (IT), engineering, medical, professional, finance, administrative, light industrial, manufacturing, and other workforce needs.

Job Title: Healthcare Consultant I
Job Location:1. South side Chicago (Chatham/South Shore)
2. Southwest side Chicago (Auburn, Pullman, Beverly, Ashburn, Evergreen Park)
3. Southwest Suburban Cook County (Chicago Heights, Olympia Fields, Tinley Park) and Will County (Joliet, Lockport)
4. Southwest DuPage County, Northwest Will County
5. Lake County
6. Livingston, McLean, and Ford Counties
7. Winnebago County
8. Franklin County
Job schedule: 8 am -5 pm M-F
Job contract: 3 Months

Pay Rate : $34/hr on W2

Description:

• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.
• Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
• Develops a proactive course of action to address issues presented to enhance the short and long- term outcomes as well as opportunities to enhance a member’s overall wellness through integration.
• Services strategies policies and programs are comprised of network management and clinical coverage policies.

Duties:

• Using clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
• Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
• Reviews prior claims to address potential impact on current case management and eligibility.
• Assessments include the member’s level of work capacity and related restrictions/limitations.
• Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.
• Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
• Utilizes case management processes in compliance with regulatory and company policies and procedures.
• Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Experience:

• 2-3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
• 2 years Healthcare and/or managed care industry experience.
• Case Management experience required-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Education:

• RN with current unrestricted IL licensure.

Job Types: Full-time, Contract

Salary: $33.00 - $34.00 per hour

Benefits:

• Vision insurance

Medical specialties:

• Home Health

Schedule:

• Monday to Friday

Work setting:

• Remote

Experience:

• Clinical practise in home health or ambulatory care: 3 years (Required)
• Case management: 2 years (Required)

License/Certification:

• RN License for Illinois (Required)

Work Location: Remote

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