Medical Management Specialist I

🌟 We're Hiring: Medical Management Specialist I! 🌟

We are seeking a detail-oriented and dedicated Medical Management Specialist I to join our team. The ideal candidate will possess strong analytical skills and a solid understanding of medical management processes to ensure the delivery of high-quality healthcare services.

📍 Location: Downers Grove, United States

⏰ Work Mode: Travel/Hybrid

💼 Role: Medical Management Specialist I

What You'll Do

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

What We’re Looking For

• 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.
  
  

Ready to make an impact? 🚀 Apply now and let’s grow together!