Jobs and Careers

Medical Review Specialist

Springfield, United Statesfull_timeVerifiedPosted 7 Feb 2025

💰 $99,456/yr($54,720/yr – $99,456/yr)

About the role

Office of the Illinois Secretary of State Alexi Giannoulias
Job Title:    Medical Review Specialist
Division:     Driver Analysis
Union: SEIU
Location:    509-511 W Capitol Ave, Springfield, IL – Sangamon County
Salary:        $4,560 to $8,288 monthly – commensurate with experience.
Benefits: https://cms.illinois.gov/benefits/stateemployee.html

Overview:
Performs a variety of highly responsible professional work of a specialized nature in the review, analysis and coordination of medical review cases on a statewide basis in accordance with statutory provisions of the Driver’s License Medial Review Law; performs extensive liaison duties with the Medical Advisory Board, members of the medical community, other departments, etc.; participates in the formulation and implementation of policies and procedures relative to the Medical Review program; attends and/or participates in staff meetings.

Duties and Responsibilities:

Performs extensive liaison duties with physicians and/or clinics to obtain missing information and/or for further clarification on incomplete and/or inaccurate medical reports, i.e., driver information missing, physician’s signature missing, physician’s professional license number missing, no date of completion, illegible/conflicting information, physician failed to provide requested information or did not complete question, etc.; requiring thorough knowledge of health care principles, practices and techniques
Serves as liaison between the Medical Review unit and the Medical Advisory Board providing professional expertise, technical assistance and any and all materials required to aid the board doctors in reviewing and processing medical cases, assigning board cases to appropriate board doctor, etc.; serves as liaison between the Medical Review unit and Administrative Hearings Department by attending all Medical Hearing cases
Analyzes and plans for present and projected needs for the statewide medical program in accordance with agency objectives, needs and available resources, including monitoring board case files to ensure board doctors are returning cases in a timely manner, performs overview of individual board doctors assigned casework load and expenditures allocated and amount of money remaining available, contacts board doctors when cases are approaching a delayed return date for status and response, and when it is becoming noticeable that his/her review time on their cases are becoming rather lengthy; provides necessary assistance and/or additional information to board doctor to assist them in processing the case more efficiently; analyzes and determine deficiencies in processes and procedures and formulates new methods to increase efficiency; prepares various administrative reports pertaining to Medical Review Board cases, staffing concerns, new/revised policies and/or procedures, interpretation of existing and proposed laws, regulations, and policies, training needs, etc.; assists in the implementation of new/revised procedures by disseminating information to appropriate personnel and/or through training of staff and Medical Advisory Board Members.
Provides technical assistance to Medical Unit staff in the interpretation and explanation of medical terminology in order to render a decision on whether a case needs to be sent to the Medical Advisory Board when