Medical Management Specialist

1 week ago


Kankakee, Illinois, United States PSG Global Solutions Careers Full time
About the Role

We are seeking a highly skilled Medical Management Specialist to join our team at PSG Global Solutions Careers. As a Medical Management Specialist, you will play a critical role in managing the health and wellness of our clients, working closely with healthcare professionals and community resources to provide exceptional care.

Key Responsibilities
  • Conduct health assessments and provide medical management and health education programs for customers on government health care programs.
  • Gather, analyze, and provide data for regulatory reports.
  • Represent the company to members and provide excellent customer service.
  • Manage complex or catastrophic cases and provide transition of care services.
Requirements
  • 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
  • Registered Nurse (RN), Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) with 3 years of direct clinical care experience.
  • Current, valid, unrestricted license in the state of operations.
  • Knowledgeable of the health and wellness marketplace and employer trends.
Preferred Qualifications
  • 3 years of clinical experience.
  • Patient education experience.
  • Condition Management experience.
  • Bilingual in English and Spanish.
  • Transition of Care experience.
About PSG Global Solutions Careers

PSG Global Solutions Careers is a fast-growing industry-recognized staffing firm recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years of experience and growth, we connect top talent with premier organizations, fostering long-lasting partnerships and growth.



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