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Medical Management Specialist I / RN Clinical Care Cordinator

BCVS Group
Buffalo, IL Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 3/16/2025

Job Title:- Medical Management Specialist I

Pay rate:- $40/hr.
Location:- Northside Chicago, IL

Description:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members.

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.
  • 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 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 JOB QUALIFICATIONS:

  • 3 years clinical experience
  • Patient education experience.
  • Condition Management experience.
  • Certification in Case Management, Training, Project Management or nationally recognized health care certification.

Job Type: Contract

Pay: From $40.00 per hour

Expected hours: 40 per week

Experience:

  • Case Manager: 1 year (Preferred)
  • Clinical care: 3 years (Required)

License/Certification:

  • IL State License (Preferred)

Ability to Commute:

  • Buffalo Grove, IL 60089 (Required)

Work Location: In person

Salary : $40

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