Government Programs Care Manager II - 743 - Work From Home

hcsc; Downers Grove (IL); Remote; USD 41,000 - 66,000; Full time

Job summary

HCSC is seeking a remote care coordination professional to support members via telephonic and field-based management. The role requires licensure (RN or related), with 3+ years of wellness or managed care experience and strong communication skills.

You will perform health screenings, assessments, and care planning, including potential home visits, and travel within the territory is required. This is a field-work role with hours 8 AM to 4:30 PM CST, Monday through Friday.

Qualifications

• This role requires RN, LPC, LMSW, LCPC, LMFT, LCSW, or related licensure with current, valid state license.
• Must have 3+ years of wellness or managed care experience addressing clinical issues with members.
• Strong verbal and written communication with internal/external stakeholders.
• Proficiency in Word, Excel, PowerPoint and related health IT tools.

Responsibilities

• Provide care coordination to members via telephonic and field-based care management.
• Educate members on health care programs and address personal health goals.
• Conduct health screenings, assessments, and care planning; may visit homes or facilities.
• Travel within assigned territory to perform duties.

Skills

Communication skills

Health coaching

Analytical abilities

Travel willingness

Education

Bachelor's degree in nursing, social sciences, social work, or related field

Active licensure in state of operations

Tools

Word

Excel

PowerPoint

Database experience

Web-based applications

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 is a Union Role

Job Summary

Job Profile 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.

This is a field-work role, so ability and willingness to travel to Cook and Collar counties is required.

Work Hours are 8 AM to 4:30 PM CST Monday through Friday.

#LI-FW1

#LI-Remote

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

Sponsorship is not available

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

$28.92 - $47.50

Exact compensation may vary based on skills and experience.