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Healthcare Consultant II

2 months ago

Richmond, Greater London, United Kingdom DcTek Inc Full time

Job Summary

DcTek Inc is seeking a skilled Healthcare Consultant II to join our team. As a key member of our healthcare management team, you will be responsible for providing comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve healthcare program/operational efficiency involving clinical issues.

Key Responsibilities

  • Healthcare Management
    • Determine medical necessity and appropriateness of healthcare services
    • Facilitate optimal healthcare outcomes
    • Identify and follow through with continuous quality and compliance opportunities
  • Quality Improvement
    • May include identification of aberrances and initiation of corrective action
    • Educate and empower customers to ensure compliance, satisfaction, and promote patient advocacy
    • Optimize total costs through implementation and evaluation of policy based on usage and program directives
  • Collaboration and Education
    • Educate and empower colleagues at all levels to enable decision-making at the most appropriate level
  • Requirements
    • Minimum 3 years of relevant experience
    • Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment and effectively manage healthcare costs
    • RN license