Medical Management Specialist - Onsite
Company: Viva USA, Inc.
Location: Chicago
Posted on: June 25, 2025
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Job Description:
Title: Medical Management Specialist - Onsite 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
date for regulatory reports. This position will represent the
company to members. 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 date 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 Clinical
Professional Counselor (LCPC), or Licensed Master Social Worker
(LMSW), which includes 2 years of clinical practice to obtain their
LCPC 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.
Keywords: Viva USA, Inc., Elkhart , Medical Management Specialist - Onsite, Healthcare , Chicago, Indiana
