Position: Medical Management Specialist (Case Manager)
Location: Chicago/Cook County. Northwest and Westside Chicago (zip codes: 60077, 60053, 60714, 20028, 60031, 60646, 60630, 60706, 60176, 60018, 60616).
Summary:
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.
Required Skills and Experience:
- Registered Nurse (RN) with 3 years direct clinical care 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.
- 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.
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