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Medical Management Specialist I

Epitec, Inc

Downers Grove, IL

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JOB DETAILS
SALARY
$36–$38 Per Hour
SKILLS
Analysis Skills, Case Management, Clinical Data, Clinical Information, Clinical Medicine, Communication Skills, Community Support, Computer Skills, Data Collection, Database Technology, Disease Prevention and Control, Documentation, Driver's License, English Language, Government, Government Funding, Health Education, Health Plan, Healthcare, Insurance, Internet Application, Managed Care, Market Trend Analysis, Medical Office Administration, Member Orientation, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Multilingual, Needs Assessment, Patient Education, Presentation/Verbal Skills, Project/Program Management, Registered Nurse (RN), Regulatory Compliance, Social Work, Spanish Language, Willing to Travel, Writing Skills
LOCATION
Downers Grove, IL
POSTED
2 days ago
Job Title:
Medical Management & Health Education Specialist
Location: Chicago, IL
Job Type: Contract
Expected hours per week:
40 hours per week
Schedule:
Monday – Friday, 9-5, onsite.
Pay Range
$36-38 Per Hour
Job Description:
About the Role
Role Overview
This position is responsible for delivering medical management and health education programs to members enrolled in government healthcare programs. The role supports regulatory compliance through accurate data gathering and reporting and serves as a key representative of the company to its members.
Key Responsibilities
  • Conduct medical management and health education programs for members in government-sponsored healthcare plans
  • Engage directly with members to assess medical needs and support care coordination
  • Gather, analyze, and report clinical and program data for regulatory and compliance requirements
  • Present and explain clinical information to members, physicians, and care teams
  • Collaborate with internal staff, external vendors, and community resources to support member care
  • Support wellness initiatives and condition management programs
  • Maintain accurate documentation in databases and web-based applications
  • Travel within the assigned territory to meet with members as needed
Required Qualifications
  • One of the following licenses:
    • Registered Nurse (RN) with 3 years of direct clinical care experience in a clinical setting
    • Licensed Professional Counselor (LPC) with 2 years of clinical practice post-licensure
    • Licensed Master Social Worker (LMSW) with 2 years of clinical practice post-licensure
  • Current, valid, unrestricted license in the state of operations (or reciprocity)
    • Compact RN license holders must obtain active, unrestricted state licensure within 90 days of hire if relocating
  • 3 years of wellness, case management, or managed care experience, including interaction with members and physicians
  • Knowledge of the health and wellness marketplace and employer healthcare trends
  • Strong verbal and written communication skills, including discussing medical needs with members
  • Experience analyzing medical and clinical data
  • Valid driver’s license, reliable transportation, and required insurance
  • Ability and willingness to travel within assigned territory
  • PC proficiency, including:
    • Microsoft Word, Excel, and PowerPoint
    • Database systems and web-based applications
Preferred Qualifications
  • Additional 3 years of clinical experience
  • Patient education experience
  • Condition or disease management experience
  • Transition of Care experience
  • Experience managing complex or catastrophic cases
  • Bilingual in English and Spanish
  • Certification in:
    • Case Management
    • Training
    • Project Management
    • Or another nationally recognized healthcare certification


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About the Company

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Epitec, Inc

Epitec is a leading staffing and recruiting services company with a mission to make staffing personal. We go beyond traditional hiring by truly understanding our candidates and matching them with the perfect opportunities. We offer competitive compensation, career growth, and support throughout the entire process. Working with top Fortune 500 companies, we are recognized for our excellence with numerous awards, including Best & Brightest and diversity recognitions. At Epitec, we're redefining the future of employment. 

COMPANY SIZE
2,500 to 4,999 employees
INDUSTRY
Staffing/Employment Agencies
EMPLOYEE BENEFITS
Professional Development, 401K, Employee Referral Program, Life Insurance
FOUNDED
1978
WEBSITE
https://epitec.com/