Medical Management Specialist I (Waco, TX) (Remote)
Texas, Plano, United States of America
***Field based Remote position near Waco TX***
JOB PURPOSE:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing, and providing data for regulatory reports. This position will represent the company to members.
JOB QUALIFICATIONS:*Registered Nurse (RN), with 3 years of direct clinical care to the consumer in a clinical setting. *Current, valid, unrestricted license in the state of operations (or reciprocity). For a compact licensee changing permanent residence to the state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
* Plus 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
* Knowledge 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.
* Analytical experience including medical data analysis.
* Current driver's license, transportation, and applicable insurance.
* Ability and willingness to travel within assigned territory.
* PC proficiency to include Word, Excel, and PowerPoint, database experience, and Web-based applications.
PREFERRED JOB QUALIFICATIONS:* 3 years of 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.
LOCATION: Field based Remote position near Waco, TXTRAVEL: 25%WORK WEEK: 40 Hours/8 Hours per DaySALARY: $51 - $53.00 HourlyASSIGNMENT: 6 months (Contract to Hire)
Note: Excel and Typing tests are required. Apply
JOB PURPOSE:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing, and providing data for regulatory reports. This position will represent the company to members.
JOB QUALIFICATIONS:*Registered Nurse (RN), with 3 years of direct clinical care to the consumer in a clinical setting. *Current, valid, unrestricted license in the state of operations (or reciprocity). For a compact licensee changing permanent residence to the state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
* Plus 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
* Knowledge 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.
* Analytical experience including medical data analysis.
* Current driver's license, transportation, and applicable insurance.
* Ability and willingness to travel within assigned territory.
* PC proficiency to include Word, Excel, and PowerPoint, database experience, and Web-based applications.
PREFERRED JOB QUALIFICATIONS:* 3 years of 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.
LOCATION: Field based Remote position near Waco, TXTRAVEL: 25%WORK WEEK: 40 Hours/8 Hours per DaySALARY: $51 - $53.00 HourlyASSIGNMENT: 6 months (Contract to Hire)
Note: Excel and Typing tests are required. Apply
Job Profile
Regions
Countries
Field based remote position near Waco, TX Must obtain RN licensure within 90 days
Tasks- Conduct medical management
- Data analysis for reports
- Health education programs
Bilingual Case Management Clinical Care Communication Condition Management Database experience Excel Health and wellness Managed Care Medical data analysis PC Proficiency PowerPoint Project Management Registered Nurse Web-based applications Wellness Word
Experience3 years
CertificationsCase management Health care certification
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