What are the responsibilities and job description for the Social Worker position at The Judge Group?
Job Title: Medical Management Specialist I
Location: Albuquerque, NM 87109
Duration: 6-month assignment, possible extensions, or conversions
Schedule: Business Hours
NOTE: This position is in the Albuquerque area, and they will travel up to 2.5 hrs radius (one way)
Description:
Position Summary:
This position is responsible for conducting medical management and health education programs for customers enrolled in government health care programs. Key accountabilities include gathering, analyzing, and providing data for regulatory reports. This role will also serve as a representative of the company to its members.
Qualifications:
- Registered Nurse (RN) with 3 years of direct clinical care experience with consumers in a clinical setting.
- OR Licensed Professional Counselor (LPC) or Licensed Master Social Worker (LMSW) with 2 years of clinical practice to obtain their LPC or LMSW license.
- Current, valid, and unrestricted license in the state of operations (or reciprocity).
- For compact licensees changing permanent residence to the state of operations, active, unrestricted RN licensure in the state of operations must be obtained within 90 days of hire.
- 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.
- Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
- Demonstrated analytical experience, including medical data analysis.
- Current driver's license, reliable transportation, and applicable insurance.
- Ability and willingness to travel within the assigned territory.
- Proficient in PC applications, including Word, Excel, and PowerPoint, as well as database experience and web-based applications.
Preferred:
- 3 years of 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 a nationally recognized health care certification.
Salary : $38 - $40