Government Programs Care Manager II-743 (Work From Home)

Health Care Service Corp.; Downers Grove (IL); Remote; USD 40.000 - 65.000; Vollzeit

Zusammenfassung

HCSC is seeking a registered nurse, LCPC, LCSW, or LMFT to provide care coordination for members via phone or field visits. You will educate members on health programs, address personal health goals, and perform health screenings and assessments, sometimes visiting homes or facilities.

Ideal candidates bring clinical experience, strong communication skills, and the ability to travel within the assigned territory. Union role; remote options available.

Qualifikationen

• Licenses required to practice in the state of operations (IL/NM as specified).
• 3+ years wellness or managed care experience with clinical discussions.
• Knowledge of health marketplace and employer trends.
• Strong verbal and written communication with internal/external stakeholders.
• Analytical experience with medical data.
• PC skills include Word, Excel, PowerPoint; databases/web apps.

Aufgaben

• Provide care coordination to members via telephonic and field visits.
• Educate members on health programs and address personal health goals.
• Conduct health screenings and comprehensive assessments.
• Develop and manage care plans, including home/facility visits.

Kenntnisse

Wellness/managed care experience

Verbal and written communication

Analytical skills

PC proficiency (Word, Excel, PowerPt)

Driver's license & travel

Ability to travel within territory

Bilingual English/Spanish

Clinical case management experience

Certification in Case Management/PM/Tr

Government programs experience

Direct clinical experience

Patient education experience

Condition management experience

Experience interfacing with vendors

Ausbildung

RN/LCPC/LCSW/LMFT license (IL/NM) ownership

Bachelor’s degree in nursing/social work/related field

Tools

Word

Excel

PowerPoint

Jobbeschreibung

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 providing 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), Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist (LMFT, IL & 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.

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.

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.

Additional Info

This is a Union role. Sponsorship is not available. #LI-MC1 #LI-Remote.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

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.

About HCSC

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

Accommodations

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

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