Medical Management Specialist

2 weeks ago


Kankakee, Illinois, United States PSG Global Solutions Careers Full time
Medical Management Specialist Job Description

We are seeking a highly skilled Medical Management Specialist to join our team at PSG Global Solutions Careers. As a Medical Management Specialist, you will play a critical role in managing the health and wellness of our clients, working closely with healthcare professionals and community resources to provide exceptional care.

Key Responsibilities:
  • Conduct health assessments and provide 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 and provide excellent customer service.
Requirements:
  • 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
  • Registered Nurse (RN), Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) with current, valid, unrestricted license in the state of operations.
  • Knowledgeable of the health and wellness marketplace and employer trends.
  • Verbal and written communication skills, including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
Preferred Qualifications:
  • 3 years of clinical experience.
  • Patient education experience.
  • Condition Management experience.
  • Bilingual in English and Spanish.
  • Transition of Care experience.

If you are a motivated and compassionate healthcare professional looking for a challenging and rewarding role, we encourage you to apply for this Medical Management Specialist position at PSG Global Solutions Careers.



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