Job Title: Medical Management Specialist
Location: Danville, Tuscola or Urbana IL (Hybrid of remote and field work)
Duration: 6+ months contract to hire
Pay rate: $40.00/hr on W2 or $80k conversion salary
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 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). 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.
...Join to apply for the Senior Manager, Communications role at Linktree Join to apply for the Senior Manager, Communications role at... ...coverage (and 80% for your dependents) of your monthly premiums for medical, dental, vision, disability and life insurance for US-based...
...Remote Work From Home Data Entry Clerk for Entry Level Position Work at home position for job seekers from virtually any work background who are... ...for folks who want to earn weekly doing something strictly online and with maximum flexibility. This is a great way to...
CDL Class A Truck Drivers Needed!Apply today and within 24 hours you'll receive multiple job offers. Earn $.60 - $.80+ CPM! and up per year based on position. Simply select the driving job that offers you what is most important.Higher pay, increased benefits or more home...
...Delivery Service Partner, has immediate openings for Delivery Driver Helpers at ourTeterboro, NJlocation. Our company is building... ...financial stability, we have a great opportunity for you! No delivery experience required! We will train you! You will be part of a2 person...
...and compliance support across a diverse portfolio of entities including a private foundation , a real estate investment and management business , and a private equity investment firm . This is an exceptional opportunity for a recent law school graduate or...