Medical Management Specialist

Job Title: Medical Management Specialist

City, State: Eugene, OR

Start Date: ASAP

Position Responsibilities: 

• Will be supporting the Clinical Specialists/Care Coordinators, who are the nurses and/or social workers who do the case management for Trillium members. They might interact with regular case managers as well as Prior Auth & Concurrent Review nurses and even some providers occasionally

• The Med Management Specialists get reports from the hospitals and other facilities and use the info to create the workload for nurses

• They extract info from these reports to determine which case management teams members should be assigned to. They are provided criteria by which to make these determinations, so they don't have to have that clinical knowledge already

• The use Excel heavily to create the sheets outlining the workload. Also will use Outlook and proprietary software as well as an EMR system called Centricity.