Clinical Case Manager
24 hours ago
Job Title: Medical Management Specialist
Location: Santa Fe, NM
This role will involve conducting medical management and health education programs for customers on government healthcare programs. The successful candidate will be responsible for gathering, analyzing, and providing data for regulatory reports. They will also perform assessments, care planning, and care coordination in the member/family home and telephonically. This position will represent the company to members.
Key Qualifications:
- Registered Nurse (RN) with 3 years of direct clinical care experience or Licensed Professional Counselor (LPC) or Licensed Master Social Worker (LMSW)
- Current, valid, unrestricted license in the state of operations (or reciprocity)
- Plus 3 years of 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
Estimated Salary: $65,000 - $90,000 per year
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