12 Medical Management Specialist Jobs in Rock Island, IL
PSG Global Solutions Careers is Hiring a Medical Management Specialist Near Rock Island, IL
The Opportunity
Description
We're looking for a Medical Management Specialist , working in Healthcare Systems and Services industry in Rock Island .
- Be responsible for conducting medical management and health education programs for customers on government health care programs.
- Be accountable in gathering, analyzing and providing date for regulatory reports.
- Represent the company to members.
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
Required:
- 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.
- 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.
- 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.
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?
Job Summary
Full Time
$100k-119k (estimate)
06/25/2024
07/13/2024
The following is the career advancement route for Medical Management Specialist positions, which can be used as a reference in future career path planning. As a Medical Management Specialist, it can be promoted into senior positions as a Community Health Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Management Specialist. You can explore the career advancement for a Medical Management Specialist below and select your interested title to get hiring information.
