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Medical Management Specialist

Chicago, IL 60601

Category: Other Area(s) Job Number: 40101 Location Requirements: Hybrid

Job Description

Medical Management Specialist
  Description:

This position requires BSN, LCSW, LCPC, and would also consider LSW and LPC

Looking for candidates in Chicago and collar counties

Manager is looking for individuals that may have experience working with children and families, working in the field (traveling to homes), MCO/care coordination background, working on computers and documentation systems.
***This position will support the Special Needs Children Care Coordination team.

This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering information and doing health assessments.
This position will represent the company to members.

JOB PURPOSE:
This position is responsible for management of Special Needs Children and their families.
Going into member's homes to do health assessments.


 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.

  Please list any other HCSC locations that the contractor can work from, if applicable   Rockford, IL, Collar Counties  

Meet Your Recruiter

Roohi Giri

Text me about this job - 972-419-1630
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