Case Manager - ICONMA

Our Client, a Retail Pharmacy company, is looking for a Case Manager for their Macon County with a focus on areas around Decatur location.

Responsibilities:

• 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 follow 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
• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
• Educate/empower colleagues at all levels to enable decision making at most appropriate level