Medical Management Specialist 8199
Company: Innovative Systems Group
Location: Downers Grove
Posted on: June 17, 2022
|
|
Job Description:
Job Description NEED CANDIDATES IN: northwest suburbs, west side
of the city/Oak Park/Cicero, north side of the city/Skokie/Evanston
or far south, that could go to Kankakee. Chicago area is always
good too. 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. 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 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.
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. This is a contracted position 6 - 12
months. INCENTIVE PAY: Clinicians supporting IL Medicaid are
eligible for $2000 incentive to be paid out in two increments. All
Contingent Workers hired 4/5/2021 and onward are eligible for this
incentive. Company Description ISG is how forward-thinking
businesses that focuses on IT recruiting and consulting. We have
been around for over 25 years and one of top 25 largest minority
owned companies in Chicago. Benefits are also available for
contract positions
Keywords: Innovative Systems Group, Downers Grove , Medical Management Specialist 8199, Executive , Downers Grove, Illinois
Click
here to apply!
|