Medical Management Specialist I (Waco, TX)
Remote · Waco, Texas, United States or US
Job Summary
This position is responsible for conducting medical management and health education programs for customers on government health care programs, including gathering, analyzing, and providing data for regulatory reports. Candidates must be a Registered Nurse (RN) with three years of clinical experience and possess an unrestricted RN license. Additional qualifications include wellness or managed care experience, strong communication skills, and analytical experience in medical data. The role requires travel within the assigned territory and proficiency in PC applications.
Required Qualifications
- Registered Nurse (RN)
- 3 years of direct clinical care to the consumer in a clinical setting
- Current, valid, unrestricted RN license in the state of operations
- 3 years of wellness or managed care experience presenting clinical issues with members/physicians
- Knowledge of health and wellness marketplace and employer trends
- Verbal and written communication skills
- Analytical experience including medical data analysis
- Current driver's license, transportation, and applicable insurance
- Ability and willingness to travel within assigned territory
- PC proficiency including Word, Excel, PowerPoint, database experience, and Web-based applications
Desired Qualifications
- 3 years of 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
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