MEDICAL MANAGEMENT SPECIALIST I Marion, IL

WalkerHealthcareIT is seeking Medical Management Specialist for our premier healthcare client in Illinois. This is a contract to hire opportunity.

WalkerHealthcareIT Standard Perks

• Weekly pay via Direct Deposit

Start Date: ASAP
On-Site/Remote: This position is remote currently, but will be required to travel to nearby counties
Wage Type: 1099, W2

MEDICAL MANAGEMENT SPECIALIST I JOB DESCRIPTION
This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing date 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 date for regulatory reports. This position will represent the company to members.

MEDICAL MANAGEMENT SPECIALIST I JOB REQUIREMENTS

• 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 IL driver's license, transportation and applicable insurance. (for IL)
• Ability and willingness to travel within assigned territory.
• PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.

MEDICAL MANAGEMENT SPECIALIST I PREFERRED JOB REQUIREMENTS

• 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.

ABOUT US
WalkerHealthcareIT is a certified MBE and WBE uniquely focused on supporting clients within the healthcare industry by placing qualified people in healthcare IT, clinical healthcare, and professional roles. As an experienced and reputable firm in consulting services, we have 15 years of proven experience in supporting healthcare systems and payers including Fortune 100 companies.

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