13833- Medical Management Specialist

Posted: 05/03/2021 Industry: Other Job Number: 34664

Job Description

Medical Management Specialist

#DB – 13833


Location:  ROCKFORD, IL

Duration: 6 Months Contract to Hire



This position is responsible for conducting medical management and health education programs for customers on government health care programs.

This role will include gathering, analyzing and providing date for regulatory reports.

This position will represent the company to members.


  • Registered Nurse (RN), Licensed Professional Counselor (LCPC), or Licensed Master Social Worker (LMSW) with 2 years direct clinical care to the consumer in a clinical setting.
  • 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.
  • Plus 3 years 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.
  • PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.


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





Job Requirements

Clinical Experience, Patient Education, Medical/Social Work Licensure

Meet Your Recruiter

David Burk

Apply Online

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.