Government Programs Care Manager II – 743 – Work From Home

HCSC Group; United States; Remote; USD 40,000 - 66,000; Full time

Job summary

HCSC is seeking a care coordination professional to support members via telephonic and field-based care management, addressing health goals and program education. Duties include health screenings, assessments, care planning, and collaboration with clinical operations, providers, and members.

The role offers remote work within the continental United States (excluding CA, NY, AK, HI) with occasional home or facility visits as needed.

Qualifications

• Current, valid, unrestricted license in the state of operations or reciprocity.
• 3 years' wellness or managed care experience presenting clinical issues with members/physicians.
• Verbal and written communication skills across internal staff, management, and external resources.
• Analytical experience including medical data analysis.
• PC proficiency with Word, Excel, and PowerPoint; database/web based applications.

Responsibilities

• Provide care coordination to members via telephonic and field-based care management.
• Complete health screenings, comprehensive health assessments, and care planning.
• Engage with members to address personal health goals and coordinate with clinical operations.

Skills

Verbal communication

Written communication

Healthcare knowledge

Travel readiness

Bilingual English/Spanish

Education

Registered Nurse license

Licensed Social Worker license

Licensed Professional Counselor license

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 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).
• 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.

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.

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.