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Medical Management Specialist I
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Integrated Resources - Hosted Jobs
Remote
$89,440 Salary, Full-Time
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Job Description
Medical Management Specialist I Integrated Resources
- Hosted Jobs
- 3.3 South Suburban, IL Job Details Contract $42
- $44 an hour 14 hours ago Benefits Health insurance Dental insurance 401(k) Qualifications Direct patient care Customer communication Databases Driver's License Driving Clinical program data analysis Desktop applications Vendor communication Patient interaction Productivity software Clinical data analysis
Full Job Description Job Title:
Medical Management Specialist I Job Location:
IL (Remote + Field Visit- South Suburban and South Chicago area
Job Duration:
6 Months+ (Possible Extension) Shift timings: Standard hours- 8:00 AM to 5:00 PM (Mon-Fri) Pay rate: $42/hr to $44/hr on W2
Job Summary:
Responsible for conducting medical management and health education programs for customers on government health care programs. Other responsibilities include gathering, analysing, and providing data for regulatory reports. This position will represent the company to members. Field visit will in members home and nursing facilities at least 2-hour drive one way.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). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire. 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.Preferred Job Qualifications:
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. #IRI-RN Pay:
$42.00- $44.