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Job Requirements of Medical Management Specialist I:
-
Employment Type:
Contractor
-
Location:
Belleville, IL (Onsite)
Do you meet the requirements for this job?
Medical Management Specialist I
Careers Integrated Resources Inc
Belleville, IL (Onsite)
Contractor
Job Title: Medical Management Specialist I
Location: Belleville, IL 62226
Job Duration: 3+ Months Contract (Possibilities of Extension)
Pay Range: $40 - $42/hr. on W2
Job Overview:
Job Purpose:
Education:
Preferred Job Qualifications:
Location: Belleville, IL 62226
Job Duration: 3+ Months Contract (Possibilities of Extension)
Pay Range: $40 - $42/hr. on W2
Job Overview:
- This position is responsible for conducting medical management and health education programs for customers on government health care programs.
- The role includes gathering, analyzing, and providing data for regulatory reports.
- This position will represent the company to members.
Job Purpose:
- This position is responsible for conducting medical management and health education programs for customers on government health care programs.
- Accountabilities include gathering, analyzing, and providing data for regulatory reports.
- This position will represent the company to members.
Education:
- 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 licensees changing permanent residence to the 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.
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