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RN Medical Management

Health Care | Chicago, IL | Temp to Perm

Job Description

RN Medical Management


InGenesis has an exciting opportunity for a Nurse Medical Management Specialist in Chicago, IL.  This is an exciting opportunity to work for a well know insurance company



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.


Requirements:


  •  Registered Nurse (RN),with 2 years direct clinical care to the consumer in a clinical setting.
  • 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.
  • 3 years wellness or managed care experience presenting clinical issues with members/physicians is a plus 
  • 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.
  • PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
Key words: Registered Nurse, RN, Case Manager, Utilization Review, Care Manager, UM