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Medical Management Specialist - Registered Nurse (RN), Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) in Albuquerque, NM

Job Description

90%-95% remote with some visits to customer homes at least 1-3 times per month or possibly more depending on business needs. 40 hrs. per week. Typical schedule is M-F, 8:00-4:30 CST with 30-min lunch break. Contract-to hire. JOB PURPOSE: 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 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. 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. • 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. • Current NM 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. (preferred but not required) • Transition of Care experience. • Experience in managing complex or catastrophic cases. • Certification in Case Management, Training, Project Management or nationally recognized health care certification. (preferred but not required)
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Posted 1 day ago

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Job Details

Medical Speciality

Home HealthPublic health

Employment Type

PRNFull-time

Required License

RN (Registered Nurse)

Work Setting

TelehealthOfficeIn-person

About Innovative Systems Group

Innovative Systems Group is a leading information technology company specializing in IT management and consulting services. With over 23 years of experience, ISG serves as an adaptive IT consulting and staffing business partner, connecting the best IT resources for Mid-Size and Fortune 500 companies. Headquartered in the United States with global locations and workforce, ISG collaborates with organizations to enhance performance, productivity, and process efficiency. As a minority-owned IT recruiting firm based in Chicago, ISG leverages its expertise to provide tailored solutions that help clients achieve their goals. Whether it's optimizing service delivery or enhancing workforce capabilities, ISG's commitment to excellence makes them a trusted partner in the IT industry.