Job Description

Job Description

Job Description

Job Title: Medical Management Specialist (Field Case Manager)

Client: Health Insurance/Managed Care Organization

CONTRACT-TO-HIRE

Looking for candidates residing in the following areas: Central Albuquerque, Albuquerque, Santa Fe, Bernalillo/Sandoval, Taos, McKinley, Los Alamos, San Juan, Luna, San Miguel, Chaves, Lea, Dona Ana, and Curry Counties; Roswell/Carlsbad in Artesia, Eddy County

Work Setup: HYBRID – 80% field work (combination of home and facility visits) & 20% work from home (around 30-40 miles away from the case manager's location)

Mileage reimbursement provided

Why This Role Stands Out:

• Field-based role – connect with members directly in their community
• High-growth contract-to-hire opportunity with a respected health organization
• Work independently while leveraging your clinical expertise and case management skills
• Mileage reimbursed and strong team support

✅ Ideal Candidate Profile:

• RN, LPC, or LMSW with at least 3 years of clinical experience
• Strong background in wellness, managed care, or condition management
• Able to travel locally with a valid license and vehicle
• Bilingual (Spanish) a plus, but not required
• Passion for community-based care and supporting vulnerable populations

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.

• 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 driver's license, transportation and applicable insurance.
• Ability and willingness to travel within assigned territory.
• 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.
• Transition of Care experience.
• Experience in managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management or nationally recognized health care certification.

W3R Consulting is a Southfield, Michigan based staffing and consulting firm that provides talent, technology consulting and advanced analytics solutions to Fortune 500 companies in the automotive, financial, healthcare, insurance, professional and business services, and retail industries. In 2012, w3r acquired Nurse Now Staffing. inner of numerous customer and industry awards, this year W3R celebrates 22 years of innovation, exceptional customer service and community engagement.

Company Description

W3R Consulting is a Southfield, Michigan based staffing and consulting firm that provides talent, technology consulting and advanced analytics solutions to Fortune 500 companies in the automotive, financial, healthcare, insurance, professional and business services, and retail industries. In 2012, w3r acquired Nurse Now Staffing. inner of numerous customer and industry awards, this year W3R celebrates 22 years of innovation, exceptional customer service and community engagement.

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