Medical Management Specialist - Downers Grove, United States - HCSC

HCSC

Verified Company

Downers Grove, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success.

We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future

This is a Union Role

:

Job 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 data for regulatory reports. Perform assessments, care planning and care coordination in the member/family home and telephonically. This position will represent the company to members, providers and state regulators.

:

_TELECOMMUTE WORK _

Required Job Qualifications

:

-
Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) with 2 years direct clinical care to the consumer in a clinical setting

:

-
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

:

-
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 unrestricted driver's license, transportation and applicable insurance

:

- **Ability and willingness to travel within assigned territory.

Preferred Job Qualifications

:

-
Plus 1 year wellness or managed care experience

:

-
3 years clinical experience

:

-
Patient education experience

:

-
Condition Management experience

:

-
Bilingual in English and Spanish

:

-
Experience in managing complex or catastrophic cases

:

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

#LI-TELECOMMUTE

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process

HCSC Employment Statement

:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.