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