Job Title:
Medical Management & Health Education Specialist
Location: Chicago, IL
Job Type: Contract
Expected hours per week:
40 hours per week
Schedule:
Monday – Friday, 9-5, onsite.
Pay Range
$36-38 Per Hour
Job Description:
About the Role
Role Overview
This position is responsible for delivering medical management and health education programs to members enrolled in government healthcare programs. The role supports regulatory compliance through accurate data gathering and reporting and serves as a key representative of the company to its members.
Key Responsibilities
- Conduct medical management and health education programs for members in government-sponsored healthcare plans
- Engage directly with members to assess medical needs and support care coordination
- Gather, analyze, and report clinical and program data for regulatory and compliance requirements
- Present and explain clinical information to members, physicians, and care teams
- Collaborate with internal staff, external vendors, and community resources to support member care
- Support wellness initiatives and condition management programs
- Maintain accurate documentation in databases and web-based applications
- Travel within the assigned territory to meet with members as needed
Required Qualifications
- One of the following licenses:
- Registered Nurse (RN) with 3 years of direct clinical care experience in a clinical setting
- Licensed Professional Counselor (LPC) with 2 years of clinical practice post-licensure
- Licensed Master Social Worker (LMSW) with 2 years of clinical practice post-licensure
- Current, valid, unrestricted license in the state of operations (or reciprocity)
- Compact RN license holders must obtain active, unrestricted state licensure within 90 days of hire if relocating
- 3 years of wellness, case management, or managed care experience, including interaction with members and physicians
- Knowledge of the health and wellness marketplace and employer healthcare trends
- Strong verbal and written communication skills, including discussing medical needs with members
- Experience analyzing medical and clinical data
- Valid driver’s license, reliable transportation, and required insurance
- Ability and willingness to travel within assigned territory
- PC proficiency, including:
- Microsoft Word, Excel, and PowerPoint
- Database systems and web-based applications
Preferred Qualifications
- Additional 3 years of clinical experience
- Patient education experience
- Condition or disease management experience
- Transition of Care experience
- Experience managing complex or catastrophic cases
- Bilingual in English and Spanish
- Certification in:
- Case Management
- Training
- Project Management
- Or another nationally recognized healthcare certification
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