Medical Management Specialist I - Care Coordination Special Needs Children Job at HCSC
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 date for regulatory reports this position will represent the company to members.
**This is a Work from Home position with traveling to Members' homes**
*** Opportunity to receive a $5,000 sign on bonus ***
**Looking for individuals living in:
Cook County, DuPage County, Kane County,
Lake County, McHenry County, Will County,
Winnebago County (Rockford) and
Northeast/North Central Illinois (Jo Daviess County, Stephenson County, (Boone County, Lee County, Henry County)
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:
BSN
3 years clinical experience.
Patient education experience.
Field work experience.
MCO experience.
Pediatric experience.
Condition Management experience.
Bilingual in English and Spanish.
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.
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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.
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