Medical Management Specialist - Registered Nurse; RN), Licensed Professional Counselor; LPC), o

• This position will be assigned 60-80 members at a time, travel distance is dependent on where the contingent workers lives, however, we try to keep them around 180 miles max.
• Preferred work location to be in Raton, NM or in the counties being covered, Colfax County, Union County, Harding County.
• Full time - 40 hrs/wk. Typical sched Mon-Fri, 8:00am - 4:30 pm CST, 30-min lunch break
• Contract-to-hire. Contract initially for 6 months or one year with possible extension or conversion to permanent employment, but not 100% guaranteed. Will depend on business needs and employee performance.
• Equipment is provided by the company.

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 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.

• Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
• 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.
• Current NM driver's license, transportation and applicable insurance. (for NM)
• Ability and willingness to travel within assigned territory.
• PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.

• 3 years clinical experience.
• Bilingual in English and Spanish. (preferred but not required)
• Transition of Care experience.
• Experience in managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management or nationally recognized health care certification. (preferred but not required)