Consultant

• Assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members
• Gather clinical information and apply clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations or recommendations
• Communicate with providers and other parties to facilitate care and treatment
• Identify members for referral opportunities involving other products, services, and programs
• Identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization
• Consult with and provide expertise to internal and external constituents in coordinating and administering utilization and benefit management
• Work in a typical office environment with productivity and quality expectations
• Perform sedentary work involving extended periods of sitting, telephone communication, listening, and computer typing

Utilization Management Nurse Consultant

• Act as a core healthcare team member assisting care managers with the overall health of enrolled populations
• Develop clinical pathways and best-practice programs for targeted patient groups
• Participate in staff meetings, trainings, daily huddles, system-wide BHC learning collaboratives, and population health efforts
• Provide behavioral health, substance abuse, and psychosocial education and support to multidisciplinary team members
• Provide population-based care to high-risk/high-need patients and all enrollees
• Promote change efforts around mental health and substance abuse disorders
• Document in the shared medical record
• Engage patients by telephone and in person
• Provide same-day assessment, brief therapeutic counseling, interventions, and referrals to higher levels of care
• Use solution-focused approaches, CBT, motivational interviewing, and other short-term counseling interventions
• Coordinate with families and support systems with patient permission
• Provide follow-up and relapse-prevention education
• Promote skill building and facilitate groups when appropriate
• Address urgent mental health and substance abuse needs, triage, and refer to specialty services
• Advocate for patients, re-engage nonparticipating patients, encourage active care participation, and connect patients with community resources related to social determinants of health

Behavioral Health Consultant

• Assist care managers in managing the overall health of enrolled populations
• Improve recognition, treatment, and management of psychosocial, behavioral, and medical conditions
• Provide clinical mental health consultation services within the scope of state professional licensure
• Participate in management of psychosocial aspects of chronic and acute diseases
• Apply behavioral principles to lifestyle and health-risk issues
• Consult and co-manage treatment of mental disorders and psychosocial issues
• Provide mental health and substance abuse assessment, intervention, and connection to higher levels of care
• Develop clinical pathways and best-practice programs for targeted patient groups
• Participate in staff meetings, trainings, daily huddles, and system-wide BHC learning collaboratives
• Educate and support multidisciplinary team members during patient treatment planning
• Provide population-based care to high-risk and high-need patients
• Promote mental health and substance abuse change efforts within the practice and health system
• Document care in the shared medical record
• Engage patients by telephone and in person
• Provide same-day assessment, brief therapeutic counseling, interventions, referrals, and follow-up
• Use solution-focused approaches, CBT, Motivational Interviewing, and other short-term counseling interventions
• Coordinate with families and support systems with patient permission
• Provide crisis support, triage, and referrals to specialty mental health and substance abuse services
• Advocate for patients and re-engage patients who are not participating in care
• Connect patients with community resources related to social determinants of health
• Coach patients to actively participate in their care and treatment

• Assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members
• Gather clinical information and apply clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations or recommendations
• Communicate with providers and other parties to facilitate care and treatment
• Identify members for referral opportunities involving other products, services, or programs
• Identify opportunities to promote healthcare service quality and effective benefit utilization
• Consult with and provide expertise to internal and external constituents regarding utilization and benefit management
• Work in a typical office environment with productivity and quality expectations
• Perform close inspection of handwritten and computer-generated documents and PC monitors
• Sit for extended periods, talk on the telephone, and type on a computer
• Multitask, prioritize, and adapt to a fast-paced, changing environment

• Support day-to-day oversight of registered representatives in a wholesale broker-dealer environment
• Review and approve high-volume supervision items, including non-cash compensation and logoed-related orders
• Monitor gift and entertainment activity for policy, firm and regulatory compliance
• Conduct surveillance of email, text and social media communications
• Respond to field inquiries and provide practical supervision guidance
• Conduct annual interviews and training sessions with registered representatives
• Identify and escalate potential risks using business-aware judgment
• Contribute to or lead subject-matter-expert areas including NCC, communications, marketing, registration and complaints
• Partner with Compliance and Field Assurance to ensure effective oversight
• Deliver fast, accurate supervision in a high-volume environment
• Identify risks early without slowing business
• Build expertise and improve consistency and quality across reviews

Principal Consultant

• Conduct behavioral assessments and observe clients to identify target behaviors
• Develop and monitor Individualized Treatment Plans (ITPs) with input from families and providers
• Implement ABA-aligned strategies and interventions prescribed by a licensed psychologist or psychiatrist
• Collaborate with families, educators, and interdisciplinary teams to support client progress
• Provide clinical oversight, documentation, and regular updates in line with treatment goals
• Provide in-community behavioral health support to clients ages 2–21

Behavior Consultant

• Address complex environmental issues
• Develop toward larger project-management responsibilities
• Work on remediation, environmental health and safety regulatory compliance, and real estate transaction support projects
• Conduct site investigations and closures
• Perform compliance audits
• Conduct risk assessments
• Perform environmental site assessments and limited environmental compliance reviews
• Support stormwater pollution prevention and management
• Support spill prevention and regulatory compliance
• Assist with remedial system design and implementation
• Conduct environmental, health, and safety audits
• Work with clients across a wide variety of industries
• Work on domestic and international project locations
• Translate environmental science and regulatory requirements into business-focused recommendations
• Develop cost-effective solutions and exit strategies for clients

Staff Level Environmental Consultant

Behavior Consultant, ABA

• Lead all components of the vendor lifecycle for Tier 1 and Tier 2 vendors, including vendor strategy and prioritization, negotiation strategy development and execution, cross-functional business engagement, vendor oversight and performance management, and value realization tracking
• Participate as a strategic contributor in RFP, RFI, and RFQ sourcing events
• Define sourcing requirements, evaluate vendor responses, and support negotiation strategy and final vendor selection decisions
• Improve strategic vendor management practices, including vendor prioritization, negotiation effectiveness, benchmarking utilization, and stakeholder engagement
• Draft, negotiate, obtain approval for, and execute vendor contracts
• Monitor vendors’ performance against contracts, including performance guarantees and service levels
• Communicate regularly with internal business stakeholders regarding vendor performance
• Participate in decisions to disengage or renew vendors and assist with disengagement or renewal
• Identify and implement process improvements to increase overall vendor lifecycle effectiveness
• Work with Privacy, Security, Legal, and Compliance to ensure the Vendor Lifecycle follows relevant policies, procedures, laws, and regulations
• Represent Vendor Alliances in internal work groups and Department/Division strategy meetings
• Advise business groups on processes and strategies that align, or do not align, with vendor contract terms and conditions
• Assist in developing and modifying Capital's vendor strategy, including sourcing, negotiation, oversight, and disengagement
• Serve as an internal consultant to business areas on vendor strategy and engagement

Consultant jobs in Pennsylvania

Utilization Management Nurse Consultant

Behavioral Health Consultant

Behavioral Health Consultant

Utilization Management Nurse Consultant

Principal Consultant

Behavior Consultant

Behavior Consultant

Staff Level Environmental Consultant

Behavior Consultant, ABA

Vendor Alliances Consultant