Job Description
Job Title:Medical Management Specialist I (RN/LPC/LMSW)
Location: REMOTE until further notice
Pay Rate: To be determined an hr. on W2, with optional Limited Benefits
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.
- Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
- Current IL 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.