TEMP_NEO_Job Title: Medical Management SpecialistClient: CignaLocation: USAContract duration: 6 months
HireTalent
Medical Management Specialist
This role will include gathering, analyzing and providing data for regulatory reports. Perform assessments, care planning and care coordination in the member/family home and telephonically. This position will represent the company to members.
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 include being a Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license. Current, valid, unrestricted license in the state of operations (or reciprocity). 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. 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 include 3 years clinical experience. Patient education experience. Condition Management experience.
HireTalent$94.89k - $136.57k
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