Healthcare Management Consultant

2 weeks ago


Kankakee, Illinois, United States PSG Global Solutions Careers Full time
Position Overview

We are seeking a Medical Management Specialist to join our team in the Insurance sector. This role involves working closely with Special Needs Children and their families, providing essential health assessments in their homes.

Key Responsibilities
  • Conduct comprehensive medical management and health education initiatives for clients enrolled in government health care programs.
  • Collect, analyze, and present data for regulatory compliance reports.
  • Act as a representative of the organization to members, ensuring their needs are met effectively.
About Our Client

Our client is a rapidly expanding, industry-recognized staffing firm with over 20 years of experience in connecting top talent with leading organizations across various sectors, including Healthcare, Finance, and Engineering. They prioritize building strong relationships that lead to low turnover and sustained partnerships.

Qualifications

To be successful in this role, candidates should possess:

  • A minimum of 3 years of experience in wellness or managed care, particularly in presenting clinical issues.
  • A valid Registered Nurse (RN) license or a Licensed Professional Counselor (LPC) or Licensed Master Social Worker (LMSW) license, with requisite clinical experience.
  • Knowledge of the health and wellness landscape and current employer trends.
  • Strong verbal and written communication skills, particularly in discussing medical needs with members and collaborating with internal and external stakeholders.
  • Analytical skills, including experience with medical data analysis.
  • A current driver's license and the ability to travel within the assigned territory.
  • Proficiency in PC applications, including Word, Excel, PowerPoint, and database management.
Preferred Qualifications
  • Experience in patient education and condition management.
  • Bilingual capabilities in English and Spanish.
  • Experience managing complex or catastrophic cases.
  • Relevant certifications in Case Management or nationally recognized health care certifications.


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