Medical Management Specialist

VIVA USA Inc; Chicago (IL); On-site; USD 75,000 - 110,000; Full time

Job summary

VIVA USA Inc in Chicago is seeking a qualified RN or licensed professional counselor to lead medical management and health education programs for government health care customers. You will gather data, analyze trends, and prepare regulatory reports while serving as the company's liaison to members.

This contract role may convert to full-time based on business needs. The candidate must hold an active license, be willing to travel within the territory, and collaborate with internal teams and

Qualifications

• Active, unrestricted professional licensure in the operating state.
• Clinical care or counseling experience required for licensure.
• Ability to analyze data and communicate findings clearly.

Responsibilities

• Deliver medical management and health education to members.
• Gather and analyze data for regulatory reports.
• Represent the company to members and coordinate with staff and external resources.
• Travel within the assigned territorial area as needed.

Skills

Verbal communication

Written communication

Analytical thinking

Travel willingness

PC proficiency (Word/Excel/PowerPoint)

Education

RN license in state of operations

LPC/LMSW license with clinical practice

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Database experience

Web-based applications

Job description

JOB PURPOSE

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 data 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.
• 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 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.

NOTE

This is a contract role with the possibility of conversion to full-time based on business needs and performance

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status