Healthcare Management Specialist I
2 weeks ago
Job Location: Remote with Field Visits
Duration: 6 months
Shift: Monday to Friday, 8:00 AM - 5:00 PM
Job Overview:
As a Medical Management Specialist I, you will play a vital role in overseeing medical management and health education initiatives tailored for clients enrolled in government healthcare programs. Your responsibilities will encompass:
- Executing comprehensive medical management strategies and educational outreach for program participants.
- Collecting, analyzing, and delivering essential data for compliance and regulatory documentation.
- Acting as a representative of Integrated Resources to engage with members effectively.
- Provide expert clinical guidance as a Registered Nurse (RN) or Licensed Professional Counselor (LPC), leveraging at least three years of direct patient care experience.
- Maintain a current, valid, and unrestricted professional license in the relevant state.
- Demonstrate a minimum of three years of experience in wellness or managed care, addressing clinical matters with both members and healthcare providers.
- Exhibit a thorough understanding of health and wellness trends within the marketplace.
- Utilize strong verbal and written communication skills to discuss medical needs with members and collaborate with internal teams and external partners.
- Apply analytical skills to interpret medical data effectively.
- Possess a valid driver's license, reliable transportation, and appropriate insurance coverage.
- Be prepared to travel within the designated area as required.
- Show proficiency in PC applications, including Word, Excel, PowerPoint, and database management.
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