Medical Management Specialist

Medical Management Specialist | Albuquerque, NM | Contract to Hire

Walker Healthforce is seeking a Medical Management Specialist for a healthcare client located in Albuquerque, NM. This is a contract opportunity. 

Start Date: ASAP

Walker Healthforce Standard Perks: 

• Weekly pay via Direct Deposit
• Medical, Dental, and Vision Available 
• 401K

JOB DESCRIPTION

• Responsible for conducting medical management and health education programs for customers on government health care programs
• Accountabilities include gathering, analyzing and providing data for regulatory reports
• Perform assessments, care planning and care coordination in the member/family home and telephonically
• This position will represent the company to members, providers and state regulators
• Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources

JOB REQUIREMENTS 

• 3+ years recent RN experience in a clinical setting or one of the following:
• Licensed Professional Counselor (LPC) with 2 years of clinical practice
• Licensed Master Social Worker (LMSW) with 2 years of clinical practice
• NM RN License
• 3+ years wellness or managed care experience
• Knowledge of the health and wellness marketplace and employer trends
• Analytical experience including medical data analysis
• PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications

PREFERRED JOB REQUIREMENTS

• 3+ years clinical practice
• 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

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.