Government Programs Care Manager III

Health Care Service Corporation; Albuquerque (NM); Remote; Full time

Job summary

Join a purpose-driven company that values employee growth and development. As a Government Programs Care Manager, you will play a crucial role in providing care coordination to members, helping them navigate health care programs and achieve their health goals. This position combines telephonic and field-based care management, requiring strong communication skills and clinical expertise. You will be part of a supportive team dedicated to making a difference in the lives of others while enjoying a robust benefits package and opportunities for professional development.

Benefits

Health and wellness benefits

401(k) savings plan

Paid time off

Paid parental leave

Disability insurance

Tuition reimbursement

Employee assistance program

Paid holidays

Qualifications

• 2 years direct clinical care in a clinical setting required.
• Current, valid, unrestricted license in the state of operations.

Responsibilities

• Provide care coordination to members via telephonic and field-based management.
• Complete member health screenings and assessments.

Skills

Verbal and written communication skills

Analytical experience including medical data analysis

PC proficiency (Word, Excel, PowerPoint)

Bilingual in English and Spanish

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Database experience

Web-based applications

Job description

Government Programs Care Manager III page is loaded

Government Programs Care Manager III

Apply locations TN - Nashville MT - Helena NM - Albuquerque OK - Tulsa IL - Springfield posted on Posted Yesterday job requisition id R0042757

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 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 clinical operations with 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 to support complex and specialty populations

Required Job Qualifications:

• Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , 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), or Licensed Mental Health Counselor {LMHC, NM) with 2 years of clinical practice experience.
• 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:

• 3 years direct clinical experience.
• Oncology and Behavioral Health Care 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
• Population Management

Telecommute:
This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

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

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

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.

Base Pay Range

$26.37 - $58.19

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