Healthcare Management Specialist I

2 weeks ago


Downers Grove, Illinois, United States Integrated Resources Full time
Job Title: Medical Management Specialist I
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.
Key Responsibilities:
  • 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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