Medical Management Specialist

2 months ago


Waukegan, United States PSG Global Solutions Careers Full time

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Management Specialist, working in Insurance industry in Waukegan, Illinois, United States. Conduct medical management and health education programs for customers on government health care programs.Gather, analyze and provide date for regulatory reports.Represent the company to members. Our ClientOur client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years' experience and growth. Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations. Big enough to have great opportunities. Small enough to care about finding the right one for you. It'sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?Experience Required for Your SuccessRegistered 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 IL driver's license, transportation and applicable insurance. (for IL) 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.What Do You Think?Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?



  • Waukegan, United States PSG Global Solutions Careers Full time

    Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Management Specialist, working in Insurance industry in Waukegan, Illinois, United States. Conduct medical management and health education programs for customers on government health care programs. Gather,...


  • Waukegan, Illinois, United States Vista Health System Full time

    Job Summary:Vista Health System is seeking a skilled Medical Laboratory Specialist to join our team in the Blood Bank department. As a Medical Laboratory Specialist, you will be responsible for performing routine laboratory testing, obtaining and preparing patient specimens, and interpreting test results.Key Responsibilities:Perform diagnostic laboratory...


  • Waukegan, Illinois, United States Vista Health System Full time

    Job Summary:Vista Health System is seeking a skilled Medical Laboratory Specialist to join our team in the Blood Bank department. As a Medical Laboratory Specialist, you will be responsible for performing routine laboratory testing, obtaining and preparing patient specimens, and interpreting test results.Key Responsibilities:Perform diagnostic laboratory...


  • Waukegan, Illinois, United States Orthodontic Experts LTD Full time

    About Us:At Orthodontic Experts, we are committed to delivering exceptional care and orthodontic services. Our community is focused on positively impacting the lives of our patients. We are in search of a dedicated individual to join our team as a Medical Equipment Sterilization Specialist. Job Overview:The Medical Equipment Sterilization Specialist plays a...


  • Waukegan, Illinois, United States PSG Global Solutions Careers Full time

    Position OverviewWe are seeking a dedicated Medical Management Specialist to join our dynamic team within the insurance sector. This role involves overseeing medical management and health education initiatives for clients enrolled in government healthcare programs.Key Responsibilities- Implement and manage health education programs tailored for our...


  • Waukegan, Illinois, United States Beacon Hill Full time

    Position Overview:The Quality Assurance Specialist will play a crucial role in ensuring that our Software as a Medical Device (SaMD) and Digital Health Software products meet the highest standards of quality and compliance.Key Responsibilities:Lead QA initiatives related to the development of SaMD and Digital Health Software.Ensure adherence to software...


  • Waukegan, Illinois, United States Beacon Hill Full time

    Position Overview:The role of the Quality Assurance Specialist is pivotal in ensuring that Software as a Medical Device (SaMD) and Digital Health Software products are developed in accordance with stringent quality standards and regulatory requirements.Key Responsibilities:Actively engage in QA activities related to the development of SaMD and Digital Health...


  • Waukegan, Illinois, United States Beacon Hill Full time

    Position Overview:The Quality Assurance Specialist will play a pivotal role in ensuring the integrity and compliance of Software as a Medical Device (SaMD) and Digital Health Software products. This position involves collaborating with cross-functional teams to uphold Quality System requirements, ensuring that all products are developed, tested, and launched...


  • Waukegan, Illinois, United States Adelphi Medical Staffing Full time

    Job OverviewAdelphi Medical Staffing is seeking a skilled Radiologist to join our team in a locum tenens capacity. This opportunity is ideal for a professional looking to supplement their practice with a variety of imaging modalities.Key ResponsibilitiesPerform general and fluoroscopic imaging procedures, including CT and MRI scansConduct non-complex...


  • Waukegan, United States Precise Solutions Full time

    Job DescriptionJob DescriptionAt Precise Solutions, we are looking for top talent consultants to bring on as employees of our organization and service our clients in the various Life Sciences Industries.  We are much more than a consulting firm! Precise Solutions provides competitive compensation packages with great salaries, benefits, health insurance,...


  • Waukegan, Illinois, United States Blue Star Partners LLC Full time

    Position OverviewJob Title: Change Management Specialist | OCM Learning & Development for Generative AILocation: Waukegan, IL – Onsite 4 days, Remote 1 day – Local candidates onlyContract Type: W-2 onlyProject Summary:This organization is committed to integrating Generative AI within its operations in a responsible and efficient manner. The current focus...


  • Waukegan, Illinois, United States Vista Health System Full time

    Ultrasound Cardiac Specialist - Echo Technician - Part-Time DaysSchedule: Mondays and Thursdays - 8:00 AM to 4:30 PM with weekend availability required.Position Overview:Conducts ultrasound assessments of the heart to aid medical professionals in identifying conditions that impact blood flow.Documents and manages examination data while preparing initial...


  • Waukegan, Illinois, United States Kids Above All Full time

    Position OverviewKids Above All is in search of a dedicated Family Development Specialist to serve the Lake County/Waukegan areas. This is a full-time opportunity.Role Responsibilities:The Family Development Specialist will engage with families in their residences to deliver educational initiatives and developmental insights, which encompass the continuous...

  • Eye Care Specialist

    1 week ago


    Waukegan, Illinois, United States Gpac Full time

    Our esteemed client is seeking to recruit a dedicated Eye Care Specialist to become a vital part of their well-established practice. This full-time position presents an exciting opportunity for professionals in the field.This role is ideal for individuals who are deeply committed to the field of Ophthalmology and aspire to make a meaningful difference in the...

  • Eye Care Specialist

    1 week ago


    Waukegan, Illinois, United States Gpac Full time

    Our esteemed client is seeking to recruit a dedicated Eye Care Specialist to enhance their well-established practice. This represents a remarkable full-time career opportunity.This position is ideal for individuals who are deeply committed to the field of Ophthalmology and aspire to make a meaningful difference in the lives of patients. As an Eye Care...


  • Waukegan, United States Mondo Full time

    Job DescriptionJob DescriptionApply now: Medical Device Project Manager, location is De Plaines, IL. The start date is ASAP for this long-term contract positio nJob Title: Medical Device Project ManagerLocation-Type: De Plaines, ILStart Date Is: ASAPDuration: ContractCompensation Range: $50-58 Per Hour W2 The estimate above represents the candidate's...


  • Waukegan, Illinois, United States Beacon Hill Full time

    Position Overview:The role focuses on ensuring quality assurance in the development of Software as a Medical Device (SaMD) and Digital Health Software products. The successful candidate will be integral in executing Quality System requirements to align with global Medical Device Regulations.Key Responsibilities:Lead QA initiatives related to SaMD and Digital...

  • Project Manager

    1 month ago


    Waukegan, United States Orion Group Full time

    Location: Waukegan, IL (Hybrid- 3 days on-site REQUIRED)Contract Length: 12 Months Pay Rate: $60-70/hr including individual healthcare coverage Background:The Combination Product Development function provides design and development expertise to enable drug delivery systems.This role will support the Human Factors and Program Management teams within the...


  • Waukegan, Illinois, United States BRIA Full time

    Position OverviewJoin our team at BRIA, where we prioritize community engagement and a healthy work-life balance.As a Practical Nursing Specialist, you will play a vital role in our rehabilitation facilities, providing compassionate care to our residents.Benefits for Practical Nursing Specialists:Comprehensive Medical/Dental/Vision/Life insuranceRetirement...


  • Waukegan, Illinois, United States Uline, Inc. Full time

    Position: Accounts Receivable SpecialistCompany Overview:Uline, Inc. is a premier distributor of shipping, industrial, and packaging supplies. We pride ourselves on our exceptional service and high-quality products.Role Overview:We are seeking an Accounts Receivable Specialist to contribute to our ongoing success. This role is ideal for finance professionals...