Medical Management Specialist I

  • Location: Albuquerque, New Mexico
  • Type: Contract
  • Job #99542

Position: Care Manager

Location: Albuquerque-Santa Fe Metropolitan Area

Job 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. Home visits are required.

 

Job 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).
  • 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
  • Discussing medical needs with members/patient education.
  • 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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