Government Programs Care Manager II – 743 – Work From Home

HCSC Group; Downers Grove (IL); Remote; USD 40,000 - 65,000; Full time

Benefits offered by this job

Remote work

Job summary

HCSC is seeking a care coordination professional to support members via telephonic and field-based care management. You will educate members on health programs, document progress, and engage them in personal health goals while supporting clinical operations and provider activities.

This remote role may involve home or facility visits and requires travel within the territory. Illinois-specific requirements apply for high-needs children.

Qualifications

• Current, valid RN license in state of operation or reciprocity.
• 3+ years of wellness or managed care experience with clinical issues.
• Knowledge of health and wellness marketplace and employer trends.
• Strong verbal and written communication with members and staff.
• Analytical experience with medical data.
• Computer proficiency: Word, Excel, PowerPoint; databases and web apps.

Responsibilities

• Provide telephonic and field-based care coordination to members.
• Educate members on health care programs and address personal health goals.
• Complete health screenings and comprehensive health assessments.
• Support clinical operations, provider and member activities.
• May require visits to members' homes or facilities.

Skills

Verbal written communication

Analytical skills

PC proficiency

Education

Bachelor's degree in nursing or related field

Tools

Word

Excel

PowerPoint

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 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:

• 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

Compensation: $28.92 - $47.50

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

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.