Government Programs Care Manager II – 743 – Work From Home

Health Care Service Corp.; Downers Grove (IL); Remote; USD 82,868,000 - 136,107,000; Full time

Benefits offered by this job

Remote/Work-From-Home role

Job summary

Health Care Service Corporation is seeking an RN/LCSW/LPC-type professional to provide care coordination for members via telephonic and field-based care management. You will educate members on health care programs, discuss adherence to personal health goals, and address member inquiries while supporting clinical operations and provider activities.

Role requires complete health screenings, comprehensive assessments, and care planning, potentially including visits to members’ homes or facilities.

Qualifications

• Current, valid, unrestricted license in the state of operations.
• Plus 3 years’ wellness or managed care experience presenting clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Proficiency with Word, Excel and PowerPoint; database and web-based applications.
• Willingness to travel within assigned territory.
• Illinois-specific requirement: nursing/social work degree and 1 year supervised clinical experience for High-needs children.

Responsibilities

• Provide care coordination to members via telephonic and field-based visits.
• Educate members on health care programs addressing personal health needs.
• Engage members in discussing adherence to health goals and respond to inquiries from members.
• Support clinical operations, provider and member activities.
• Complete health screenings, comprehensive health assessments and care planning.
• Travel to members' homes or facilities as needed.

Skills

Verbal and written communication

Medical data analysis

Word

Excel

PowerPoint

Database experience

Web-based applications

Driver's license

Travel willingness

Education

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

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

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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.

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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. 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.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.