Remote Medical Management Specialist - RN, LPC, OR LMSW Wanted

Job Overview

Join our dedicated team as a Medical Management Specialist, a role designed for compassionate and skilled professionals eager to make a meaningful impact in healthcare. This position is fully remote, allowing you to deliver essential medical management and health education services to individuals enrolled in government healthcare programs. As a key contributor, you will gather, analyze, and disseminate data for regulatory reporting while performing assessments, crafting individualized care plans, and coordinating care with members and their families, both in-person and through virtual communication.

Key Responsibilities
• Facilitate medical management and health education initiatives for individuals within government healthcare programs.
• Collect and analyze pertinent data to generate reports for regulatory compliance.
• Execute assessments and provide care coordination through telephonic and face-to-face interactions with members and their families.
• Design tailored care plans that meet the specific needs of individuals.
• Represent the organization with professionalism during all interactions with members, healthcare providers, and community resources.
• Engage in occasional travel within your designated territory as required.

Required Skills
• Excellent verbal and written communication abilities, enabling effective discussions regarding medical needs with members and collaborations with internal teams and external partners.
• Strong analytical skills with experience in reviewing and interpreting medical data.
• Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint, as well as familiarity with web-based applications.
• Willingness and ability to travel within the assigned region.

Qualifications
• Valid and unrestricted Registered Nurse (RN) license with a minimum of three years of direct clinical care experience, OR
• Licensed Professional Counselor (LPC) or Licensed Master Social Worker (LMSW) with at least two years of clinical experience.
• A current, valid, unrestricted license to practice in the state of employment (or eligibility for reciprocity).
• Minimum of three years of experience in wellness or managed care, demonstrating the ability to present clinical issues to members or healthcare providers.
• In-depth knowledge of the health and wellness industry, including current trends in employer healthcare offerings.

Career Growth Opportunities

This position offers a unique opportunity for personal and professional development in the healthcare sector. The organization values continuous learning and provides avenues for career advancement, positioning you to grow your expertise within a supportive environment.

Company Culture And Values

We pride ourselves on fostering a culture of compassion, collaboration, and dedication to improving healthcare outcomes. As part of our team, you will be surrounded by like-minded professionals who are committed to making a difference in the lives of our members.

Networking and Professional Opportunities

By joining our organization, you will have the chance to expand your professional network, collaborate with industry experts, and participate in valuable skill development initiatives that enhance your career trajectory.

Employment Type: Full-Time

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