TulsaRecruiter Since 2001
the smart solution for Tulsa jobs

Medical Management Specialist I

Company: HCSC
Location: Tulsa
Posted on: February 22, 2021

Job Description:

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), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) 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.
* 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.
* 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.
* Experience in managing complex or catastrophic cases.
* Certification in Case Management, Training, Project Management or nationally recognized health care certification.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements:
Expertise Nursing Job Type Full-Time Regular Location OK - Tulsa, OK - Oklahoma CityPandoLogic. Keywords: Medical Manager, Location: Tulsa, OK - 74104

Keywords: HCSC, Tulsa , Medical Management Specialist I, Executive , Tulsa, Oklahoma

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Medical Director
Description: Medical Director State Road Animal Hospital It's fun to work in a company where people truly BELIEVE in what they are doing We're committed to bringing passion and customer focus to the business. 30,000 (more...)
Company: Western University of Health Sciences
Location: Alma
Posted on: 03/6/2021

Salon Manager - Center Marketplace
Description: Salon ManagerGot shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Wellston
Posted on: 03/6/2021

Director of Rehab - Clinical (DOR)
Description: FULL TIME POSITION br Genesis Rehab Services is a leading provider of Physical, Occupational, Speech and Respiratory Therapy for older adults in skilled nursing facilities, independent and assisted (more...)
Company: Genesis Rehab Services
Location: Sand Springs
Posted on: 03/6/2021


Vice President of Indirect Lending
Description: Hiring Requirements: Candidate must successfully pass credit review, drug screen, criminal background check and--provide professional--employment references. Position SummaryResponsible for the oversight (more...)
Company: TTCU Federal Credit Union
Location: Tulsa
Posted on: 03/6/2021

Nurse Manager I
Description: The Oklahoma Forensic Center in Vinita is seeking an experienced,
Company: Oklahoma Forensic Center
Location: Vinita
Posted on: 03/6/2021

Management Leaders - Become a Franchise Owner
Description: Own A Franchise40 BUSINESS CATEGORIESPROVEN BUSINESS MODELSFIND OUT HOW BUSINESSOWNERS CAN EARN MOREHave you ever thought about owning your own business If so, now is the perfect time to look into franchise (more...)
Company: WilliamsonHeckt
Location: Tulsa
Posted on: 03/6/2021

Co-Manager
Description: There are two kinds of people in this world: SONIC employees and those who wish they were SONIC employees. This elite group gets to work with awesome people, earn great pay, and sport the cool uniform. (more...)
Company: Sonic Drive-In
Location: Dewey
Posted on: 03/6/2021

General Manager - Owasso, OK
Description: At JCPenney, we share a passion for serving customers, supporting our communities and being the best retailer for all families. As a company founded on the Golden Rule, our success is rooted in the belief (more...)
Company: JCPenney
Location: Owasso
Posted on: 03/6/2021

Salon Manager - Plaza at the Speedway
Description: Salon ManagerGot shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Independence
Posted on: 03/6/2021

RN Care Manager -Full Time -Day Shift- Bass Baptist Hospital ,Enid, Ok
Description: RN Case MgrJob Code: 1318Position Summary:The Case Manager is responsible for the clinical and financial outcomes for an assigned caseload of patients as appropriate. The Case Manager facilitates patient (more...)
Company: Integris Health
Location: Marshall
Posted on: 03/6/2021

Log In or Create An Account

Get the latest Oklahoma jobs by following @recnetOK on Twitter!

Tulsa RSS job feeds