Government Programs Care Manager II

Health Care Service Corporation; Taos (NM); Remote; Full time

Job summary

A leading healthcare organization is seeking a Government Programs Care Manager II to provide care coordination through telephonic and field-based management. The role involves conducting health assessments, engaging members in discussions about health goals, and supporting clinical operations. Candidates must have a valid nursing or counseling license and at least 3 years of relevant experience. This remote position requires candidates to reside within 250 miles of the office or anywhere within New Mexico.

Benefits

401(k)

Pension

Paid Time Off

Parental Leave

Disability and Life Insurance

Tuition Reimbursement

Qualifications

• At least 3 years of wellness or managed care experience.
• Current, valid, unrestricted license in the state of operation.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Conduct health screenings, comprehensive health assessments, and care planning.

Skills

Communication

Analytical Skills

Bilingual in English and Spanish

Education

Licensed Registered Nurse (RN)

Licensed Clinical Social Worker (LCSW, IL & NM)

Licensed Marriage and Family Therapist (LMFT, IL & NM)

Tools

Word

Excel

PowerPoint

Job description

Job Title: Government Programs Care Manager II (Santa Fe, NM)

Job Summary

This position is responsible for providing care coordination to members via telephonic and/or field-based care management. The goal is to inform and educate members about healthcare programs, address their personal health needs, engage them in discussions about adherence to health goals, respond to inquiries, and support clinical operations, provider, and member activities. The role involves conducting health screenings, comprehensive health assessments, and care planning, which may include visits to members' homes or facilities.

Required Job Qualifications

• Licensed Registered Nurse (RN), 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 operation or reciprocity. If changing residence to the state of operation, obtain active, unrestricted RN licensure within 90 days of hire.
• At least 3 years of wellness or managed care experience with clinical issues involving members and physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills for discussing medical needs and interfacing with internal staff, management, external vendors, and community resources.
• Analytical skills including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, database, and web-based applications.
• Valid driver's license, transportation, and applicable insurance. Willingness to travel within the assigned territory.

Preferred Job Qualifications

• Direct clinical experience.
• Patient education experience.
• Condition management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management, or other recognized healthcare certifications.
• Experience with government programs.

This is a remote role; candidates must reside within 250 miles of the office or anywhere within the posted state.

Additional Information

We offer a comprehensive benefits package, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability and life insurance, employee assistance programs, tuition reimbursement, and more. Compensation varies based on skills, education, and experience, and is eligible for an annual incentive bonus.

Equal Opportunity Employment

We are committed to diversity and equal opportunity in employment. 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.

Base Pay Range

$21.62 - $48.14