Medical Management Professional

4 weeks ago


Belleville, Illinois, United States PSG Global Solutions Careers Full time
Job Summary

We are seeking a skilled Medical Management Specialist to join our team at PSG Global Solutions Careers. As a Medical Management Specialist, you will be responsible for conducting medical management and health education programs for customers on government health care programs. You will also gather, analyze, and provide data for regulatory reports, represent the company to members, and work with our client to bring top talent together with premier organizations.

Responsibilities

- Conduct medical management and health education programs for customers on government health care programs
- Gather, analyze, and provide data for regulatory reports
- Represent the company to members
- Work with our client to bring top talent together with premier organizations

Requirements

- 3 years 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), which includes 2 years of clinical practice to obtain their LPC or LMSW license
- Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire
- Knowledgeable of the health and wellness marketplace and employer trends

Preferred

- 3 years clinical experience
- Patient education experience
- Condition Management experience
- Bilingual in English and Spanish
- Transition of Care experience
- Experience in managing complex or catastrophic cases
- Certification in Case Management, Training, Project Management or nationally recognized health care certification

About PSG Global Solutions Careers

PSG Global Solutions Careers is a fast-growing industry-recognized staffing firm. We recruit critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years' experience and growth, we have connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. We work to bring top talent together with premier organizations. Big enough to have great opportunities, small enough to care about finding the right one for you. It's about relationships based on mutual interest. The results are low turnover, long-lasting partnerships, and growth. Want to work for a company invested in your success?
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