Government Programs Care Manager II

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

Job summary

A leading healthcare organization is seeking a dedicated professional for a remote care coordination role. Responsibilities include telephonic and field-based management, health screenings, and comprehensive assessments. Ideal candidates will possess relevant licenses and experience in wellness or managed care. The position offers a comprehensive benefits package and competitive compensation based on skills and experience.

Benefits

Health and wellness benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Tuition reimbursement

Qualifications

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

Responsibilities

• Provide care coordination via telephonic and/or field-based management.
• Complete member health screenings and comprehensive assessments.
• Engage members in discussions about health goals.

Skills

Communication

Analytical Skills

Bilingual in English and Spanish

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Tools

Word

Excel

PowerPoint

Job description

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 on healthcare programs to address their personal health needs, engaging them in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations, provider, and member activities. Responsibilities include completing member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may involve visits to members' homes 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 operation (or reciprocity). For licensees changing residence to the state of operation, an active, unrestricted RN license must be obtained within 90 days of hire.
• At least 3 years of wellness or managed care experience involving clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills for discussing medical needs and interfacing with staff, management, vendors, and community resources.
• Analytical experience, 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.

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 telecommute (remote) role: candidates must reside within 250 miles of the office or within the state.

Additional Information

If referred through an employee connection, inquire about our referral process. We offer a comprehensive benefits package, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Details are available at https://careers.hcsc.com/totalrewards. Compensation varies based on skills and experience and may include an annual incentive bonus.

Equal Opportunity Employment

We are committed to an inclusive environment where all employees are valued. 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