JIVA Utilization Specialist

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:

• 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

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