Travel Case Manager

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Job Title: Travel Case Manager 

Duration: 6 Months Contract (Potential for extension)
Location: Richmond VA

Pay Rate:$34.11/ HR on W2
Shift Hours:  8am-5pm M - F

Candidate must reside in Stafford County, VA

Put city, state, county and zip at top ov resume

Must have a quiet place to work with zero distractions and have reliable transportation.

Up to 70% of travel will be required in assigned region  

Description

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 follow through with continuous quality/ compliance opportunities . May also include identification of 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

 Utilizes critical thinking and judgment to collaborate and inform the case management process to facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education for members using care management tools and resources. 

Utilizes motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. 

Provides coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices. 

Helps members actively and knowledgably participate with their provider in healthcare decision-making. 

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  
Bachelor’s degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling), LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW 

2 years’ experience in behavioral health, social services, or appropriate related field equivalent to program focus 

 
Preferred Qualifications  
Case management and discharge planning experience preferred 

Managed Care experience preferred