Medical Mgmt Specialist I
Company: HCSC
Location: Springfield
Posted on: March 16, 2023
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Job Description:
At HCSC, we consider our employees the cornerstone of our
business and the foundation to our success. We enable employees to
craft their career with curated development plans that set their
learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is
invested in your future!
Job Summary
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.
Responsibilities
This position Is responsible for conducting medical management and
health education programs for customers on government healthcare
programs. Accountabilities include gathering, analyzing and
providing data for regulatory reports. This position will represent
the company to members.
Main counties are Sangamon, Logan, Macon, or Menard
#LI-Telecommute
*INAK
JOB QUALIFICATIONS:
* Registered Nurse (RN), Licensed Professional Counselor (LPC),
Licensed Clinical Professional Counselor (LCPC), Licensed Master
Social Worker (LMSW), Licensed Social Worker (LSW), Licensed
Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor
(LMHC) 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.
* Current unrestricted driver's license, transportation and
applicable insurance.
* Ability and willingness to travel within assigned territory.
Preferred Job Qualifications:
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.
We encourage people of all backgrounds and experiences to
apply.
Even if you don't meet every listed qualification, apply anyway -
you might have qualifications we haven't even thought of yet.
Are you being referred to one of our roles? If so, ask your
connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing
equal opportunity and affirmative action to employees and
applicants. We are an Equal Opportunity Employment / Affirmative
Action employer dedicated to workforce diversity and a drug-free
and smoke-free workplace. Drug screening and background
investigation are required, as allowed by law. All qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or protected veteran status.%60894088%
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Keywords: HCSC, Springfield , Medical Mgmt Specialist I, Healthcare , Springfield, Massachusetts
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