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    Medical Management Specialist I - Downers Grove, United States - Integrated Resources, Inc

    Integrated Resources, Inc
    Integrated Resources, Inc Downers Grove, United States

    1 week ago

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    Description

    We are looking for a experienced Medical Management Specialist I

    Company:

    Join our team in a role that involves a mix of remote work and field visits in Illinois.

    Job Description:
    • Tasked with running medical management and health education initiatives for clients under government health care programs.
    • Responsibilities also encompass collecting, assessing, and supplying data for regulatory filings. It's a role that puts you front and center as the face of the company to its members.

    Job Qualifications:
    • Must be a Registered Nurse (RN) with a background of 3 years in direct clinical care OR a Licensed Professional Counselor (LPC) OR a Licensed Master Social Worker (LMSW) with at least 2 years of clinical practice before obtaining their LPC or LMSW credentials.
    • Hold a current, valid, and unrestricted license in the operational state (or through reciprocity).
    • Additionally, a minimum of 3 years in wellness or managed care dealing with clinical concerns involving members/physicians is required.
    • Familiarity with the health and wellness landscape and employer patterns is a plus.
    • You should possess strong verbal and written communication abilities to effectively address medical needs with members, engage with internal teams/management, and interact with external partners and community resources.
    • Experience in analyzing medical data is beneficial.
    • Having a valid driver's license, access to transportation, and relevant insurance coverage is necessary for this role.
    • Willingness and ability to travel within the designated area is essential.
    • Proficiency in PC applications such as Word, Excel, PowerPoint, databases, and web-based tools is crucial.


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