Government Programs Care Manager II

Human Resources; Albuquerque (NM); Remote; Full time

Job summary

HCSC is looking for a qualified healthcare professional to join the care coordination team. This role requires providing telephonic and field-based care management, engaging members in health conversations, and completing comprehensive health assessments. Successful candidates will possess the required licenses and have at least 3 years of experience in a similar field.

Qualifications

• Requires at least 3 years’ experience in wellness or managed care.
• Excellent verbal communication skills for discussing medical needs.
• Willingness and ability to travel within assigned territory.

Responsibilities

• Provides care coordination to members via telephonic and/or field-based management.
• Completes member health screenings and assessments.
• Engages members in discussions about adherence to health goals.

Skills

Communication

Analytical skills

Knowledge of health marketplace

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Licensed Clinical Professional Counselor (LCPC)

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Licensed Professional Clinical Counselor (LPCC)

Licensed Independent Social Worker (LISW)

Licensed Mental Health Counselor (LMHC)

Tools

Word

Excel

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 position is responsible for providing care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs, addressing their personal health needs, engaging members in discussions about adherence to personal health goals, responding to inquiries, and supporting clinical operations, provider, and member activities. This role involves completing 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.

Required Job Qualifications: Registered Nurse (RN), unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), 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).

• Current, valid, unrestricted license in the state of operations (or reciprocity). For licensees changing residence to the state of operations, active, unrestricted RN licensure must be obtained within 90 days of hire.
• At least 3 years’ experience in wellness or managed care, presenting clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Excellent verbal and written communication skills, including discussing medical needs with members and interfacing with internal staff, management, external vendors, and community resources.
• Analytical skills including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, database experience, and web-based applications.
• Current, unrestricted driver’s license, transportation, and applicable insurance.
• Willingness and ability to travel within the assigned territory.

#LI-Telecommute

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Compensation: $21.62 - $48.14

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

HCSC Employment Statement:

We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

To learn more about our benefits, please visit https://careers.hcsc.com/totalrewards