Medical Management Specialist

6 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 Client

Our 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 Success
  • 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 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 BH Management Full time

    BH Management is looking for a highly motivated and experienced Facilities Operations Specialist to oversee the maintenance and repair of our properties.About the Job:As a Facilities Operations Specialist, you will be responsible for coordinating and performing routine maintenance tasks, responding to service requests, and implementing preventative...


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

    Job Title: Medical Advocate SpecialistEstimated Salary: $65,000 - $85,000 per yearCompSpec Inc. is seeking a motivated Medical Advocate Specialist to join our team. In this role, you will be responsible for working with uninsured patients to secure third-party applications and managing a portfolio for third-party eligibility/recovery.Key...


  • Waukegan, Illinois, United States Alumni Healthcare Staffing Full time

    Job Title: Medical Imaging SpecialistDescription:We are seeking a highly skilled Medical Imaging Specialist to join our team at Alumni Healthcare Staffing. As a General Radiologist, you will be responsible for performing real-time imaging to assist in diagnostic and therapeutic procedures.About the Job:This is an onsite role with 8 AM - 5 PM hours at...

  • Medical Director

    2 weeks ago


    Waukegan, Illinois, United States Northern Light Medical Management - Vista Medical Center East Full time

    Competitive Physician OpportunitiesWe are seeking an experienced Physician to join our team at the Northern Light Medical Management - Vista Medical Center East in Waukegan, IL. This is a 13-week assignment with a guaranteed minimum of 40 hours per week and a competitive pay rate of $12,382.89 per week.About the PositionThis Physician opportunity offers a...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job OverviewAHS Vista LLC is seeking a skilled Medical Device Specialist to join our team.Estimated Salary: $65,000 - $90,000 per year


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job OverviewWe are seeking a skilled Medical Service Specialist to join our team at AHS Vista LLC. As an OB Technician Assistant, you will play a vital role in providing quality care for our patients.


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job OverviewAHS Vista LLC is seeking a skilled Medical Compliance Specialist to join their team in Illinois. As a key member of the nursing department, this individual will play a crucial role in ensuring compliance with regulatory requirements and promoting high-quality patient care.About the RoleThe successful candidate will be responsible for auditing...


  • Waukegan, Illinois, United States Sterling Engineering Inc. Full time

    About the JobWe are seeking a highly skilled Construction Project Management Specialist to join our team in Waukegan, IL. As a key member of our team, you will oversee all stages of the project life cycle, manage project timelines and deliverables, and collaborate with contractors and stakeholders to ensure timely completion within a 6-month period.The ideal...


  • Waukegan, Illinois, United States Med Ninjas Full time

    OverviewWe are seeking a highly skilled Medical Imaging Specialist to join our team at Med Ninjas. As a key member of our radiology department, you will be responsible for performing non-complex procedures and handling routine/ED imaging needs.ResponsibilitiesPerform light interventional procedures and general radiology tasksRead around 100 mixed studies per...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job SummaryAHS Vista LLC is seeking a skilled Medical Laboratory Specialist to join our team. As a key member of our laboratory staff, you will be responsible for performing routine laboratory testing, obtaining and preparing patient specimens, and conducting diagnostic tests and procedures on body fluids and other specimens.Responsibilities:• Performs...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    AHS Vista LLC is seeking a skilled Medical Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of Medicaid claims.With a focus on attention to detail and excellent communication skills, this role requires a high school diploma or equivalent, along with a minimum of...


  • Waukegan, Illinois, United States Health Advocates Network-Allied Full time

    We are seeking a highly skilled Medical Imaging Specialist to join our team on a travel assignment in Waukegan, Illinois. As a Medical Imaging Specialist, you will be responsible for operating and maintaining complex imaging equipment, producing high-quality images, and working closely with healthcare professionals to ensure accurate diagnoses.The ideal...


  • Waukegan, Illinois, United States Top Line Transportation Full time

    About the RoleWe are seeking a skilled van driver to join our team at Top Line Transportation as a Route Management Specialist. In this role, you will be responsible for safely transporting students to and from school and other designated locations.Key Responsibilities:Safely transport students along assigned routes while prioritizing their safety and...


  • Waukegan, Illinois, United States Service Sanitation Inc Full time

    About the RoleAt Service Sanitation Inc, we are seeking a highly motivated and physically capable Waste Management Specialist to join our team. As a key member of our operations staff, you will be responsible for loading and unloading portable restrooms and equipment from our trucks and trailers, ensuring safe and efficient completion of daily tasks.The...


  • Waukegan, Illinois, United States WeedMan - Gurnee, Il Full time

    We need a Landscaping Management Specialist to join our team in Gurnee, IL.In this role, you will be responsible for overseeing all landscaping operations, supervising staff, and ensuring high-quality service delivery to our customers.Main Responsibilities:Landscaping Operations:Plan and execute landscaping projects, including mowing, pruning, and...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job OverviewAHS Vista LLC is seeking a highly skilled Medical Imaging Specialist to join our radiology team. This role requires expertise in both MRI and X-ray imaging, providing comprehensive diagnostic services to patients while maintaining the highest standards of care and professionalism.About the RoleThis position offers a competitive salary range of...


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

    Salary: $85,000 - $110,000 per yearJob OverviewThis is an exciting opportunity to work as a Medical Management Specialist in Waukegan, Illinois. You will be responsible for conducting medical management and health education programs for customers on government health care programs.Duties and ResponsibilitiesGather, analyze and provide data for regulatory...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    AHS Vista LLC is seeking a highly skilled Medical Education Program Manager to oversee the development and implementation of continuing education programs for EMS personnel. With a strong background in emergency medical services, this individual will be responsible for ensuring compliance with local, state, and national regulatory requirements.Key...


  • Waukegan, Illinois, United States Ludlow Manufacturing Full time

    Laser Application and Set-up Specialist RoleWe are seeking a highly skilled Laser Application and Set-up Specialist to join our team at Ludlow Manufacturing.About the JobThis is a critical role that requires strong technical expertise in laser cutting machines. As a Laser Application and Set-up Specialist, you will be responsible for providing detailed...