Piper Companies is looking for a JIVA Utilization Specialist for a 100% REMOTE, contracting opportunity with a Healthcare focused consulting organization.
Responsibilities of the JIVA Utilization Specialist:
Qualifications of JIVA Utilization Specialist:
Compensation for the JIVA Utilization Specialist:
#LI-Zs1, #LI-REMOTE
Responsibilities of the JIVA Utilization Specialist:
- Manage and improve behavioral health and disease management programs.
- Responsible for managing and optimizing various aspects of health care management, including case management, care coordination, utilization management, and performance improvement measures.
- Handle delegation indicators and manage long-term care (NFLOC) and ABP Exempt cases.
- Utilize JIVA Outbound for data querying and management.
- Work with HSD Roster file, HRP/Facets, Aspen file, HSD Info File, and Setting of Care (SOC) landing.
- Create and maintain medical management data repositories.
Qualifications of JIVA Utilization Specialist:
- 5+ Years of experience in case management and care management.
- Proficiency with JIVA outbound (query JIVA to fetch data) for on prem systems.
- Experience working with HSD Roster file, HRP/ facets, Aspen file, HSD info file, and setting of care landing
- Strong knowledge of creating and maintaining medical management data repositories.
- Certified Case Manager (CCM) or similar certification
Compensation for the JIVA Utilization Specialist:
- $50.0-$60.0/hr pay rate depending on experience
- 100% REMOTE opportunity
- Comprehensive Benefits Package: Medical, Dental, Vision, 401K
#LI-Zs1, #LI-REMOTE