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Medical Management Specialist I

Integrated Resources, Inc
  • Rockford, IL
  • $42 Per Hour
  • Instant Apply
30+ days ago

Job Description

Job Title: Medical Management Specialist I 
Location:  (Remote+ Home Visit)- Rockford, IL  (Winnebago, Boone, Ogle & Stephenson Counties, IL)
Duration: 6+ months (possible extension)+ Contract to Hire
Schedule: 40hr, Mon - Fri, 8:00am - 4:30pm
Pay Rate: $42.00/ hr. to $43.93/ hr. on w2. ( Along with Mileage reimbursement separately).
 
Notes:
Location: Seeking candidates in Winnebago, Boone, Ogle & Stephenson Counties, IL

Job Description :
  • 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 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 include 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.

Numbers & Facts

LocationRockford, IL

Skills

  • Analysis Skillsunmatched
  • Certified Case Manager (CCM)unmatched
  • Clinical Competencyunmatched
  • Clinical Medicineunmatched
  • Communication Skillsunmatched
  • Computer Skillsunmatched
  • Consultingunmatched
  • Customer Support/Serviceunmatched
  • Data Analysisunmatched
  • Database Technologyunmatched
  • Driver's Licenseunmatched
  • English Languageunmatched
  • Governmentunmatched
  • Health Educationunmatched
  • Healthcareunmatched
  • Internet Applicationunmatched
  • Managed Careunmatched
  • Market Trend Analysisunmatched
  • Microsoft Excelunmatched
  • Microsoft PowerPointunmatched
  • Microsoft Wordunmatched
  • Multilingualunmatched
  • Patient Educationunmatched
  • People Managementunmatched
  • Presentation/Verbal Skillsunmatched
  • Project/Program Managementunmatched
  • Registered Nurse (RN)unmatched
  • Regulatory Reportsunmatched
  • Social Workunmatched
  • Spanish Languageunmatched
  • Willing to Travelunmatched
  • Writing Skillsunmatched

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