Talent.com
Medical Managment Specialist (Chicago)

Medical Managment Specialist (Chicago)

EPITECChicago, IL, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

We are seeking a highly skilled and compassionate Medical Management Specialist I to join our team. As a Medical Management Specialist I, you will play a critical role in conducting medical management and health education programs for our customers on government healthcare programs. Your expertise will help us gather, analyze, and provide data for regulatory reports, while also representing our company to members.

Key Responsibilities :

  • Conduct medical management and health education programs for customers on government healthcare programs
  • Gather, analyze, and provide data for regulatory reports
  • Represent the company to members
  • Present clinical issues with members and physicians
  • Interface with internal staff / management and external vendors and community resources

Requirements :

  • Registered Nurse (RN) with 3 years direct clinical care to the consumer in a clinical setting, or
  • Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) with 2 years of clinical practice to obtain their LPC or LMSW license
  • Current, valid, unrestricted license in the state of operations (or reciprocity)
  • Plus 3 years wellness or managed care experience presenting clinical issues with members / physicians
  • Knowledge of the health and wellness marketplace and employer trends
  • Verbal and written communication skills
  • Analytical experience including medical data analysis
  • Current driver's license, transportation, and applicable insurance
  • Ability and willingness to travel within assigned territory
  • PC proficiency to include Word, Excel, and PowerPoint, database experience, and Web-based applications

    • Nice to Have Skills :

  • 3 years clinical experience
  • Patient education experience
  • Condition Management experience
  • Bilingual in English and Spanish
  • Transition of Care experience
  • Experience in managing complex or catastrophic cases
  • Certification in Case Management, Training, Project Management, or nationally recognized health care certification

    • Preferred Qualifications :

  • Experience in managing complex or catastrophic cases
  • Certification in Case Management, Training, Project Management, or nationally recognized health care certification
    • serp_jobs.job_alerts.create_a_job

    Managment Specialist • Chicago, IL, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Access HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    Access Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. Access Healthcare Job ID #73187330.Pay package...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel CT Technologist

    Travel CT Technologist

    Premier Medical Staffing ServicesElk Grove Village, IL, US
    serp_jobs.job_card.permanent
    Premier Medical Staffing Services is seeking a travel CT Technologist for a travel job in Elk Grove Village, Illinois.Job Description & Requirements. About Premier Medical Staffing Services.Prem...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    Host HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 ho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    LanceSoftZion, IL, US
    serp_jobs.job_card.permanent
    LanceSoft is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. Must have 2 years as an ICU RN experience.ICU RN for S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ICU - Intensive Care Unit - $2317 / Week - Hiring Now

    Travel Nurse - RN - ICU - Intensive Care Unit - $2317 / Week - Hiring Now

    Fusion Medical StaffingZion, IL, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Zion, IL. Shift : Inquire Start Date : 10 / 22 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Internal Medicine - General / Other in East Chicago, IN

    Physician (MD / DO) - Internal Medicine - General / Other in East Chicago, IN

    LocumJobsOnlineEast Chicago, IN, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with Adelphi Locums to find a qualified Internal Medicine MD in East Chicago, Indiana, 46312!. Job Title : Physician Anesthesiology.Job Type : Permanent Full-Time.Schedule...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    CT Technologist II

    CT Technologist II

    Endeavor HealthHighland Park, Illinois, US
    serp_jobs.job_card.full_time +1
    The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.CT Technologist II - Full Time. Sunday : 7 : 00 AM - 3 : 30 PM Monday, Tuesday, Wednesday...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Stability HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    Stability Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. Stability Healthcare is looking for a ICU R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    MedPro Healthcare StaffingZion, IL, US
    serp_jobs.job_card.full_time
    MedPro Healthcare Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois. Job Description & Requirements.Joint Commission-certified staffing a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Physical Medicine in Northwest Suburban Chicagoland., IL

    Locum Physician (MD / DO) - Physical Medicine in Northwest Suburban Chicagoland., IL

    LocumJobsOnlineNorthwest Suburban Chicagoland., IL, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with Weatherby Healthcare to find a qualified Physical Medicine MD in Northwest Suburban Chicagoland. If you are seeking a new opportunity or would simply like to learn mo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Nightingale NursesZion, IL, US
    serp_jobs.job_card.full_time
    Nightingale Nurses is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. You may not realize it, but as an RN with rea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    GHR HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    GHR Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. GHR Healthcare Job ID #73187121.Pay package is ba...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Internal Medicine - General / Other in Lemont, IL

    Physician (MD / DO) - Internal Medicine - General / Other in Lemont, IL

    LocumJobsOnlineLemont, IL, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with The Inline Group to find a qualified Internal Medicine MD in Lemont, Illinois, 60439!.AM-5 PM, and Saturday 8 AM-12 PM, only 36 hours required per week.New Graduates...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    GetMed Staffing, Inc.Zion, IL, US
    serp_jobs.job_card.full_time
    RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements.GetMed Staffing is searching for a strong ICU RN to assist our traveler-friendly client.A ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Managment Specialist (Chicago)

    Medical Managment Specialist (Chicago)

    EPITECChicago, IL, US
    serp_jobs.job_card.part_time
    We are seeking a highly skilled and compassionate Medical Management Specialist I to join our team.As a Medical Management Specialist I, you will play a critical role in conducting medical manageme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Physical Medicine in Northwest Suburban Chicagoland., IL

    Locum Physician (MD / DO) - Physical Medicine in Northwest Suburban Chicagoland., IL

    LocumJobsNetworkNorthwest Suburban Chicagoland., IL, US
    serp_jobs.job_card.full_time
    LocumJobsNetwork is working with Weatherby Healthcare to find a qualified Physical Medicine MD in Northwest Suburban Chicagoland. If you are seeking a new opportunity or would simply like to learn m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    PRN HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    PRN Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. PRN Healthcare Job ID #1451544.Pay package is bas...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Travel ICU RN (Stem Cell Transplant & CAR-T)

    Planet HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    Planet Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. Planet Healthcare Job ID #73187121.Pay package...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Managment Specialist

    Medical Managment Specialist

    EPITECChicago, IL, United States
    serp_jobs.job_card.full_time
    We are seeking a highly skilled and compassionate Medical Management Specialist I to join our team.As a Medical Management Specialist I, you will play a critical role in conducting medical manageme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Local Contract ICU RN (Stem Cell Transplant & CAR-T)

    Local Contract ICU RN (Stem Cell Transplant & CAR-T)

    Stability HealthcareZion, IL, US
    serp_jobs.job_card.full_time
    Stability Healthcare is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Zion, Illinois. Job Description & Requirements.Stability Healthcare is loo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days