Medical Management Specialist I - Onsite at Viva USA Inc.
Downers Grove, IL 60515
About the Job
Title: Medical Management Specialist I - Onsite
Mandatory skills:
medical management, clinical
RN, ILLINOIS Licensed Nurse, LSW, LPC, RN, Registered Nurse, LCSW, LCPC, Managed care, medical management, health education programs, Members, government health care programs, Medicare, Medicaid, HMO, PPO, health insurance, claims, benefits, members, providers, eligibility, Clinical, Patient care, Patient education, Condition Management, Transition care,
managed care, health care
Bachelor, BE, BBA, BS, Nursing, Social Work, Psychology, , Certification in Case Management, Case Management certified, LSW, LPC, RN, Registered Nurse, LCSW, LCPC,
MS Office, Word, Excel, PowerPoint
Project Management, Case Management, Training, catastrophic case
Condition Management, medical data analysis
database, Web based applications
LCSW, LCPC, LSW, LPC
gathering, analyzing, regulatory, Analytical, vendor, report
Certification in Case Management, Training, Project Management, health care certification
Bilingual, English, Spanish
Patient Education,
Description:
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.
JOB QUALIFICATIONS:
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.
Mandatory skills:
medical management, clinical
RN, ILLINOIS Licensed Nurse, LSW, LPC, RN, Registered Nurse, LCSW, LCPC, Managed care, medical management, health education programs, Members, government health care programs, Medicare, Medicaid, HMO, PPO, health insurance, claims, benefits, members, providers, eligibility, Clinical, Patient care, Patient education, Condition Management, Transition care,
managed care, health care
Bachelor, BE, BBA, BS, Nursing, Social Work, Psychology, , Certification in Case Management, Case Management certified, LSW, LPC, RN, Registered Nurse, LCSW, LCPC,
MS Office, Word, Excel, PowerPoint
Project Management, Case Management, Training, catastrophic case
Condition Management, medical data analysis
database, Web based applications
LCSW, LCPC, LSW, LPC
gathering, analyzing, regulatory, Analytical, vendor, report
Certification in Case Management, Training, Project Management, health care certification
Bilingual, English, Spanish
Patient Education,
Description:
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.
JOB QUALIFICATIONS:
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.
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:
3 years 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.
VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at hr@viva-it.com for any complaints, comments and suggestions.
Contact Details:
Account co-ordinator: Keerthana Bathrappan, Phone No: (847) 278-2460, Email: staffing10@viva-it.com
VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008
staffing10@viva-it.com | http://www.viva-it.com
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 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.
VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at hr@viva-it.com for any complaints, comments and suggestions.
Contact Details:
Account co-ordinator: Keerthana Bathrappan, Phone No: (847) 278-2460, Email: staffing10@viva-it.com
VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008
staffing10@viva-it.com | http://www.viva-it.com