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Government Programs Care Manager III - 743

Health Care Service Corporation

Downers Grove (IL)
Remote
USD 100,000 - 125,000
Today
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Senior Regulatory Affairs Associate, CMC Biologics - US or Canada (TALENT POOL)

Parexel

Providence (RI)
Remote
USD 70,000 - 90,000
Today
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Fraud Support Analyst (Credit/Debit Card)

Jack Henry & Associates, Inc.

Birmingham (AL)
Remote
USD 47,000 - 71,000
Today
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Director Trade Client Strategy - Synergie Medication Collective

Blue Cross Blue Shield Association

Oregon (WI)
Remote
USD 155,000 - 175,000
Today
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Software Engineer, Platform - Lexington, USA

Clutch Canada

Lexington (MA)
Remote
USD 140,000 - 200,000
Today
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Senior Director Artificial Intelligence & Digital Transformation

Alzheimer's Association

Florham Park (NJ)
Remote
USD 170,000 - 200,000
Today
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LOOKING FOR AMBITIOUS SALES PROFESSIONALS

Emergent Financial Group

Alton (TX)
Remote
USD 60,000 - 80,000
Today
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Travel Med-Surg Telemetry RN - $1,769 per week

Medical Solutions

Fort Wayne (IN)
Remote
USD 80,000 - 100,000
Today
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Software Engineer, Android Core Product - Salem, USA

Clutch Canada

Salem (IN)
Remote
USD 140,000 - 200,000
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Travel Radiology Technologist - $2,274 per week

Medical Solutions Allied

Erie (Erie County)
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USD 60,000 - 80,000
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Medical Director - Ophthalmology

Parexel

Des Moines (IA)
Remote
USD 180,000 - 250,000
Today
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Fraud Support Analyst (Credit/Debit Card)

Jack Henry & Associates, Inc.

Cedar Falls (IA)
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USD 47,000 - 71,000
Today
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Fertility Utilization Management RN - Remote

UnitedHealth Group

McAllen (TX)
Remote
USD 70,000 - 90,000
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Territory Manager - Upstate New York

The Timken Company

North East (Erie County)
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USD 80,000 - 100,000
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Tech Lead, Web Core Product & Chrome Extension - Louisville, USA

Clutch Canada

Louisville (KY)
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USD 140,000 - 200,000
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Travel CT Technologist - $1,846 per week

Medical Solutions Allied

Clarksville (TN)
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USD 80,000 - 100,000
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Software Engineer, iOS Core Product - Thousand Oaks, USA

Clutch Canada

Thousand Oaks (CA)
Remote
USD 140,000 - 200,000
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Travel Medical/Surgical RN - $2,429 per week

Medical Solutions

Grand Forks (ND)
Remote
USD 60,000 - 80,000
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Emergent Financial Group

Irving (TX)
Remote
USD 60,000 - 80,000
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Customer Support Administrator

Carl Zeiss X-Ray Microscopy LLC

Idaho
Remote
USD 50,000 - 58,000
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Large Enterprise Account Executive - Net New Logo Hunter (Sales Practice)

Gartner

Fort Myers (FL)
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USD 98,000 - 143,000
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Large Enterprise Account Executive - Net New Logo Hunter (Sales Practice)

Gartner

Delaware
Remote
USD 98,000 - 143,000
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Emergent Financial Group

Cedar Park (TX)
Remote
USD 65,000 - 100,000
Today
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Emergent Financial Group

Rowlett (TX)
Remote
USD 60,000 - 80,000
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Work from Home - Fraud Detection Coordinator - Documentation Verification Team

Capital One

Lincoln (NE)
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USD 44,000
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Government Programs Care Manager III - 743
Health Care Service Corporation
Downers Grove (IL)
Remote
USD 100,000 - 125,000
Full time
Today
Be an early applicant

Job summary

A healthcare service provider is seeking a Care Coordinator responsible for telephonic and field-based care management. Candidates must be a Registered Nurse or possess equivalent licenses with strong clinical experience. The role includes conducting health assessments and engaging members in their health goals. Offering a competitive salary with remote work flexibility, this position is ideal for those looking to make a meaningful impact in healthcare.

Qualifications

  • Registered Nurse with 2 years of clinical experience or licensed mental health counselor.
  • Current, valid, unrestricted license in the state of operations.
  • 3 years of wellness or managed care experience.

Responsibilities

  • Provide care coordination to members via telephonic and field-based care management.
  • Complete member health screenings and assessments.
  • Support clinical operations with provider and member activities.

Skills

Clinical care
Communication skills
Analytical skills
PC proficiency
Bilingual in English and Spanish

Education

Registered Nurse (RN) or equivalent licensed professional

Tools

Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This is a Union Role

Job Summary

This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties which may require visits to members\' homes and/or facilities to support complex and specialty populations.

Required Job Qualifications

(Specify the minimum level of education, experience, knowledge and skill needed to perform this job.)

  • Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist (LMFT, IL & NM),Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent Social Worker (LISW, NM), or Licensed Mental Health Counselor {LMHC, NM) with 2 years of clinical practice experience.
  • 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.
  • PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
  • Current unrestricted driver\'s license, transportation and applicable insurance.
  • Ability and willingness to travel within assigned territory.
Preferred Job Qualifications

(Specify the preferred level of education, experience, knowledge and skill desired when filling this job.)

  • 3 years direct clinical experience.
  • Community Health Experience
  • Intake Assessment Experience
  • NCQA Documentation Experience
  • Patient education experience.
  • Condition Management experience.
  • Bilingual in English and Spanish.
  • Experience in managing complex or catastrophic cases.
  • Certification in Case Management, Training, Project Management or nationally recognized health care certification.
  • Government Programs experience

This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

#LI-AC1

#LI-Hybrid

#CA

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range $34.90 - $57.89

Exact compensation may vary based on skills and experience.

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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.

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