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Medical Management Professional

2 months ago

Elmhurst, New York, United States PSG Global Solutions Careers Full time
About the Role

We're seeking a skilled Medical Management Specialist to join our team at PSG Global Solutions Careers. As a key member of our organization, you will play a vital role in conducting medical management and health education programs for customers on government health care programs.

Key Responsibilities
  • Gather, analyze, and provide data for regulatory reports
  • Represent the company to members
  • Conduct medical management and health education programs
Requirements

To be successful in this role, you will need:

  • 3 years of wellness or managed care experience presenting clinical issues with members/physicians
  • 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)
  • Current, valid, unrestricted license in the state of operations (or reciprocity)
  • Knowledgeable of the health and wellness marketplace and employer trends
Preferred Qualifications

We're looking for candidates with:

  • 3 years of clinical experience
  • Patient education experience
  • Condition Management experience
  • Bilingual in English and Spanish
  • Transition of Care experience
  • Experience in managing complex or catastrophic cases
About PSG Global Solutions Careers

We're a fast-growing industry-recognized staffing firm recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years' experience and growth, we're committed to bringing top talent together with premier organizations.