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Medical Management Specialist I

Careers Integrated Resources Inc Oak Brook, IL (Onsite) Contractor
Job Title: Medical Management Specialist I
Job Location: Oak Brook, IL 60523
Job Duration: 6+ Months (Possibilities of extension)


Pay Range: $40 - $42/hr. on W2
 
Job Summary:
  • Waiver Position – Western Suburbs: DuPage County, Kane County, Cook County.
  • Experience working with Traumatic Brain Injury and/or HIV populations.
 
Description:
  • 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.
 
Job Qualifications:
  • Registered Nurse (RN) with 3 years of direct clinical care experience in a clinical setting or Licensed Professional Counselor (LPC) or Licensed Master Social Worker (LMSW) with 2 years clinical practice experience required 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 state of operations, active, unrestricted RN licensure in the state of operations must be obtained within 90 days of hire.
  • Minimum 3 years wellness or managed care experience presenting clinical issues with members/physicians.
  • Knowledge of the health and wellness marketplace and employer trends.
  • Strong 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.
  • Proficient with PC including Word, Excel, 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 managing complex or catastrophic cases.
  • Certification in Case Management, Training, Project Management, or nationally recognized healthcare certification.
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Job Snapshot

Employee Type

Contractor

Location

Oak Brook, IL (Onsite)

Job Type

Management

Experience

Not Specified

Date Posted

07/30/2025

Job ID

25-53961

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