Job Description
Job Description
Job Title : Medical Management Specialist I
Job Location : Chicago Northside or Lake County or Aroura Area, IL (Remote + Field Visits)
Duration : 6 months+
Shift : Monday to Friday 8 : 00 am - 5 : 00 pm
Job Description :
- Responsible for conducting medical management and health education programs for customers on government health care programs.
- Accountabilities include gathering, analyzing, and providing date for regulatory reports. This position will represent the company to members.
Job Qualifications :
- 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), which includes 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 including discussing medical needs with members and interfacing with internal staff / management and external vendors and community resources.
- 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.
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