Registered Nurse

Integrated Resources, Inc ( IRI ); New Mexico; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Medical Management Specialist I to conduct health education programs and manage clinical data. This remote position requires a Registered Nurse or equivalent with experience in wellness and managed care. Ideal candidates will have strong communication and analytical skills, and the ability to travel within New Mexico.

Qualifications

• 3 years direct clinical care in a clinical setting.
• Current, valid, unrestricted license in the state of operations.

Responsibilities

• Conduct medical management and health education programs.
• Gather and analyze data for regulatory reports.

Skills

Communication

Analytical

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Tools

Word

Excel

PowerPoint

Job description

2 days ago Be among the first 25 applicants

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Integrated Resources, Inc ( IRI ) provided pay range

This range is provided by Integrated Resources, Inc ( IRI ). Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$40.00/hr - $45.00/hr

Direct message the job poster from Integrated Resources, Inc ( IRI )

Lead Recruiter at Integrated Resources Inc.(Scientific/ Clinical/Life Sciences /Pharmaceuticals /Engineering/Healthcare/ Business Professionals)

Title: Medical Management Specialist I

Location: REMOTE in NM (with some local field visit)

Duration: 6+ months (contract to hire)

Job 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 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).
• 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 includes Word, Excel, and PowerPoint, database experience and Web based applications.

Preferred Job Qualifications:

• 2 years clinical 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.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider, Science, and Research

• Industries

  Hospitals and Health Care, Hospitals, and Health and Human Services

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