Medical Management Specialist 8199
Company: Innovative Systems Group
Location: Downers Grove
Posted on: June 20, 2022
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Job Description:
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), LCSW, LCPC, and would also
consider LSW and LPC* 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.*External Worker
NeededThis is a contracted position 6 - 12+ months. 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.
Keywords: Innovative Systems Group, Downers Grove , Medical Management Specialist 8199, Healthcare , Downers Grove, Illinois
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