Care Manager – Government Programs

EPITEC; Rock Island (IL); Hybrid; USD 49,593 - 52,348; Part time

Job summary

EPITEC is looking for a Care Manager – Government Programs to operate from Rock Island, IL, in a hybrid role. This position entails conducting medical management and health education programs for members in government healthcare programs, including analyzing clinical data and directly engaging with members.

The ideal candidate must hold an unrestricted RN, LPC, or LMSW license and have a minimum of three years of direct clinical experience. Proficiency with Microsoft Office and the ability to communicate effectively are essential. Competitive pay range is between $36-38 per hour.

Qualifications

• 3+ years of direct clinical experience.
• 3+ years of managed care or wellness experience.
• Strong communication and interpersonal skills.

Responsibilities

• Conduct medical management and health education programs for members.
• Analyze and interpret clinical and utilization data for reporting.
• Support regulatory reporting requirements and documentation.
• Communicate with members, providers, and care teams to coordinate care.
• Educate members on medical needs and wellness programs.

Skills

Direct clinical experience

Managed care experience

Communication skills

Medical data analysis

Proficiency in Microsoft Office

Education

RN, LPC, or LMSW with active, unrestricted license

Job description

Job Title: Care Manager – Government Programs

Location: Hybrid, Rock Island, IL.

Job Type: W2 Contract

Schedule: Monday–Friday

Pay Range: $36-38 per hour

Position Description

This position is responsible for conducting medical management and health education programs for members enrolled in government healthcare programs. The role includes analyzing clinical data, supporting regulatory reporting, and representing the company through direct member engagement and care coordination.

Key Responsibilities

• Conduct medical management and health education programs for members.
• Analyze and interpret clinical and utilization data for reporting.
• Support regulatory reporting requirements and documentation.
• Communicate with members, providers, and care teams to coordinate care.
• Educate members on medical needs, treatment plans, and wellness programs.
• Collaborate with internal teams and external vendors/resources.
• Travel within assigned territory as needed.

Required Qualifications

• RN, LPC, or LMSW with active, unrestricted license.
• 3+ years of direct clinical experience.
• 3+ years of managed care or wellness experience.
• Experience presenting clinical issues to members and physicians.
• Strong communication and interpersonal skills.
• Experience with medical data analysis and reporting.
• Proficiency in Microsoft Office (Word, Excel, PowerPoint) and web-based systems.
• Valid driver’s license, reliable transportation, and insurance.
• Ability to travel within assigned territory.

Preferred Qualifications

• Transition of care experience.
• Experience managing complex or catastrophic cases.
• Case Management or healthcare-related certification.