Government Programs Care Manager III

Health Care Service Corporation; Helena (MT); Remote; Full time

Job summary

An established industry player is seeking a dedicated care coordinator to provide telephonic and field-based support to members. This role emphasizes patient education, health screenings, and care planning, ensuring members receive the necessary guidance for their health needs. With a focus on wellness and managed care, the position offers opportunities for professional growth within a supportive environment. Candidates must possess a valid RN license and have a strong background in clinical care. Join a purpose-driven organization that values employee development and offers a comprehensive benefits package.

Benefits

Health and Wellness Benefits

401(k)

Pension

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

Tuition Reimbursement

Qualifications

• 2 years of clinical care experience required.
• Must have a valid RN license in the state of operations.

Responsibilities

• Provide care coordination via telephonic and field-based management.
• Educate members on healthcare programs and support clinical operations.

Skills

Registered Nurse (RN)

Clinical Care Experience

Communication Skills

Analytical Skills

Proficiency in Word, Excel, PowerPoint

Bilingual in English and Spanish

Education

Registered Nurse License

Clinical Practice Experience

Tools

Word

Excel

PowerPoint

Web-based Applications

Job description

At HCSC, our employees are the cornerstone of our business and the foundation of 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. The role involves informing and educating members on healthcare programs to address their personal health needs, engaging them in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. It includes completing health screenings, assessments, and care planning, which may require visits to members' homes or facilities, especially for complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of clinical care experience or licensed professional counselors or social workers with equivalent clinical practice experience, licensed in TX, IL, NM, or other relevant states.
• Current, valid, unrestricted license in the state of operations (or reciprocity). For licensees changing residence, active licensure in the new state must be obtained within 90 days.
• At least 3 years of wellness or managed care experience, presenting clinical issues with members or physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills for discussing medical needs and interfacing with staff, vendors, and community resources.
• Analytical skills, including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, databases, and web-based applications.
• Valid driver's license, transportation, and insurance; willingness to travel within the territory.

Preferred Job Qualifications:

• 3+ years of direct clinical experience.
• Experience in oncology, behavioral health, patient education, or condition management.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certifications in case management, project management, or other health care areas.
• Experience with government programs and population management.

Telecommute:

This is a remote role; candidates must reside within 250 miles of the office or within the state.

#LI-TELECOMMUTE, #LI-AK1, #INAK

Referral and Benefits:

If referred, ask your HCSC contact about our Employee Referral process. We offer a comprehensive benefits package, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, holidays, tuition reimbursement, and more. Learn more at https://careers.hcsc.com/totalrewards.

Compensation varies based on skills, education, and experience. The role may include an annual incentive bonus plan.

Equal Opportunity Statement:

We are an Equal Opportunity Employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$26.37 - $58.19