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Medical Management Specialist

2 months ago

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

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 special needs children and their families, conducting health assessments, and providing medical management and health education programs for customers on government health care programs.

Key Responsibilities:
  • Conduct health assessments and gather, analyze, and provide data for regulatory reports
  • Represent the company to members and provide excellent customer service
  • Manage complex or catastrophic cases and provide transition of care experience
  • Develop and implement condition management programs and provide patient education
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 have a passion for healthcare and a strong background in medical management, we encourage you to apply for this exciting opportunity. PSG Global Solutions Careers is a fast-growing industry-recognized staffing firm, and we offer a dynamic work environment and opportunities for growth and development.