RN | LPC | LMSW | Medical Management Specialist

Innovative Systems Group; Austin (TX); Remote; USD 80,000; Full time

Job summary

An established industry player is seeking a Medical Management Specialist to join their team in Austin. This telephonic-only role focuses on conducting health education programs and managing medical data for government healthcare programs. The ideal candidate will have a strong clinical background as an RN, LPC, or LMSW, and possess excellent communication and analytical skills. With a commitment to wellness and managed care, this position offers a unique opportunity to make a difference in the community. If you are passionate about healthcare and eager to contribute to innovative solutions, this role is perfect for you.

Qualifications

• 3 years of clinical care experience required for RN, LPC, or LMSW.
• Strong analytical skills for medical data analysis.

Responsibilities

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

Skills

Verbal and written communication skills

Analytical skills

Clinical care experience

Managed care experience

Bilingual in English and Spanish

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Database applications

Web-based applications

Job description

RN | LPC | LMSW | Medical Management Specialist

Be among the first 25 applicants three days ago.

Pay Range

This range is provided by Innovative Systems Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range: $80,000.00/yr - $80,000.00/yr

Job Details

Job Title: Medical Management Specialist

Location: 9442 Capital of Texas Highway, Plaza 2 Austin TX

Duration: May 2025 to October 2025, contract to hire

Pay rate: $40.00/hr on W2 or $80k annual salary

This is a telephonic-only position for the Travis County STAR/CHIP LOB. It is a Special Beginnings role; experience with L&D, postpartum care, and newborn/NICU is important. NICU experience is not required.

Job Purpose

This position involves conducting medical management and health education programs for customers on government health care programs. Responsibilities include gathering, analyzing data for regulatory reports, and representing the company to members.

Qualifications

• Registered Nurse (RN) with 3 years of clinical care or Licensed Professional Counselor (LPC) or Licensed Master Social Worker (LMSW), including 2 years of clinical practice for LPC or LMSW licensing.
• Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensees relocating, active, unrestricted RN licensure in the new state must be obtained within 90 days.
• Plus 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills for discussing medical needs and interfacing with staff, management, vendors, and community resources.
• Analytical skills including medical data analysis.
• Current driver's license, transportation, and applicable insurance.
• Willingness to travel within the assigned territory.
• Proficiency in Word, Excel, PowerPoint, database experience, and web-based applications.

Preferred Qualifications

• 3 years of clinical experience.
• Bilingual in English and Spanish.
• Transition of Care experience.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management, or other recognized healthcare certification.

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care