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The Opportunity
Description
We're looking for a Medical Management Specialist , working in Healthcare Systems and Services industry in Skokie .
Conduct medical management and health education programs for customers on government health care programs.
Gather, analyze and provide date for regulatory reports.
Represent the company to members.
Our Client
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years' experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It'sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success 3 years wellness or managed care experience presenting clinical issues with members/physicians
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
Knowledgeable 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: 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
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?
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