Government Programs Care Manager II

hcsc; Downers Grove (IL); Remote; USD 35,000 - 63,000; Full time

Job summary

HCSC is seeking a remote care coordination professional to support members via telephonic and field-based management. The role includes health screenings, assessments, and care planning, with potential home or facility visits to address personal health needs.

The ideal candidate has RN or similar licensure with 3+ years in wellness or managed care, plus strong communication and data analysis skills. Travel within the territory is required, and the position is remote with contributions to the

Qualifications

• Registered Nurse (RN) license or licensed mental health professional with state license.
• 3 years wellness or managed care experience.
• Strong verbal and written communication and data analysis skills.

Responsibilities

• Coordinate member care via telephonic and field-based care management.
• Perform health screenings, assessments, and care plan development.
• Educate members on health programs and respond to inquiries; may visit member homes/facilities.
• Travel within assigned territory as needed.

Skills

Bilingual English/Spanish

Verbal and written communication

Analytical data analysis

PC proficiency (Word, Excel, PowerPo

Willingness to travel

Education

RN license

Licensed clinical social worker / related licensure

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.

Job Summary

This position is responsible for 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, 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.

REQUIRED JOB QUALIFICATIONS:

• Registered Nurse (RN), 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), Licensed Social Worker (LSW, IL) or Licensed Mental Health Counselor {LMHC, NM).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.

Additional State Specific Requirements

Illinois Only High-needs children: Bachelor's degree in nursing, social sciences, social work, or related field

(1) year of supervised clinical experience in a human- services field

PREFERRED JOB QUALIFICATIONS:

• Direct clinical 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

#LI-FW1

#LI-Remote

This is a Remote/Work-From-Home role.

Sponsorship is not available

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, we offer a robust total rewards package for employees. 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 .

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.

Base Pay Range

$25.14 - $45.44

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