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Healthcare Program Specialist

Effingham, IL 62401

Post Date: 08/14/18 Job ID: 45863 Industry: Medical Administrator

HireLevel powered by Extra Help is seeking Healthcare Program Specialists in Effingham, IL. Our client is a fortune 500 company who is a nation-wide leader in the healthcare services field and they pride themselves on their ability to provide a wide range of government-sponsored healthcare programs; including a variety of insurance solutions. The ideal candidate will conduct screening and risk assessment interventions per program guidelines and act as primary liaison for members and staff to assist with non-medical aspects of the member s care, including referrals to community resources. Must have a valid drivers license and be willing to travel.

Position: 6-month contract with possible extension

Pay: $25+/hour Based on Experience

Location: Effingham, IL

Similar Positions: Social Work, Nursing, Behavioral Science

Responsibilities of the Healthcare Program Specialist:
  • Identify special needs members through the completion of health screens and other resources
  • Work with community outreach/member advocates to coordinate member care
  • Educate providers and community resources on program components and available support services
  • Educate members with special needs to foster compliance with program and positively impact outcomes
  • Conduct site visits as appropriate for programs and provides support to other special programs
  • Develop and modify care plans in conjunction with member, member s family, and managing physician
  • Development of plan specific literature and education materials in conjunction with medical director and corporate oversight

Requirements of the Healthcare Program Specialist:
  • Bachelor s degree in Social Work, Nursing, Health, Behavioral Science or equivalent experience. Master s degree in Social Work preferred.
  • 4+ years of community experience in directly managing and integrating the social/community needs of the members.
  • Experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic and complex conditions.
  • Valid driver s license. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.
  • Must meet background and drug screening requirements

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