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MEDICAL MANAGEMENT SPECIALIST Jobs in IL, USA

MEDICAL MANAGEMENT SPECIALIST

  • Rolling Meadows, IL, USA 
Viva USA Inc
Negotiable
5 to 5 years
Full Time
Job Description

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. RNs must have 3 years of clinical experience outside of Managed Care post licensure and must have a bachelor's degree LCSW, LCPC must have 3 years of clinical of experience outside of Manage Care 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 a plus Transition of Care experience. Experience in managing complex or catastrophic cases.

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