RN | LPC | LMSW | Medical Management Specialist

    • Innovative Systems Group
  • Albuquerque, NM
  • Posted 21 days ago | Updated 4 hours ago

Overview

On Site
Compensation information provided in the description
Full Time

Skills

Presentations
Communication
Staff Management
Analytical Skill
Data Analysis
Insurance
Microsoft Excel
Microsoft PowerPoint
Database
Bilingual
English
Spanish
Management
Training
Project Management
Health Care

Job Details

Job Description

Job Title: Medical Management Specialist

Location: Albuquerque NM | Remote and Field work

Duration: 6+ months contract to hire

Pay rate: $40.00/hr on W2 or $80k conversion salary



JOB PURPOSE: 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.


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). 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.

* Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.

* 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.

* Bilingual in English and Spanish.

* Transition of Care experience.

* Experience in managing complex or catastrophic cases.

* Certification in Case Management, Training, Project Management or nationally recognized health care certification.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.