Government Programs Care Manager I - Work From Home

Health Care Service Corp.; United States; Remote; USD 31,000 - 56,000; Full time

Benefits offered by this job

Health benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Employee Assistance Program

Paid holidays

Tuition reimbursement

Job summary

Health Care Service Corp. seeks a care coordination professional to support members via phone or in the field, educating them on health programs and guiding adherence to personal health goals.

You will conduct health screenings, answer inquiries, and assist clinical operations with provider and member activities, including possible home visits.

Qualifications

• Requires a Bachelor's degree in nursing, social work, counseling, human-services or social sciences, or LVN/LPN with related experience.
• Knowledge of healthcare terminology.
• Experience coordinating member healthcare needs and assisting members.
• PC proficiency with Microsoft Office and clinical systems.

Responsibilities

• Provide telephonic and field-based care coordination to inform and educate members on health care programs.
• Engage members in discussions about adherence to personal health goals.
• Respond to member inquiries and support clinical operations with provider and member activities.
• Perform member health screenings that do not require clinical judgement; may involve home or facility visits.

Skills

Care coordination

Customer service

Motivational interviewing

Verbal & written communication

Driver's license

Education

Bachelor's degree / related field

Experience in managed care

Tools

Microsoft Office

Clinical systems

Job description

Job Summary

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 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 the clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings that do not require clinical judgement and care planning duties which may require visits to members' homes and/or facilities.

Job Requirements

• Bachelor's degree in nursing, social work, counseling, human-services or social sciences, or LVN, LPN and 1 year of related experience or 3 years of equivalent experience in managed care, a state care coordination or waiver program.
• Knowledge of healthcare terminology
• Experience coordinating member healthcare related needs, providing assistance to members, and analyzing member needs
• PC proficiency including Microsoft Office applications and clinical systems.
• Customer service skills
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues
• Current unrestricted driver's license, transportation and applicable insurance.

Preferred Job Requirements

• Familairity with Medicaid or government contracts
• Work from home position with field-based care around the Gallup, NM area.

Pay Transparency Statement

• health and wellness benefits
• 401(k) savings plan
• pension plan
• paid time off
• paid parental leave
• disability insurance
• supplemental life insurance
• employee assistance program
• paid holidays
• tuition reimbursement
• plus other incentives

Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.

This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Base Pay Range $22.54 - $40.31

Exact compensation may vary based on skills, experience, and location.

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Accommodations

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned.