Government Programs Care Manager III

Health Care Service Corporation; Nashville (TN); Remote; Full time

Job summary

Join a purpose-driven company that empowers its employees and invests in their professional development. This remote role offers the opportunity to provide care coordination to members through telephonic and field-based management. You will engage with members on health goals, conduct health assessments, and support clinical operations. The company values diversity and inclusion, offering a comprehensive benefits package, including health and wellness benefits, 401(k), and paid time off. If you're passionate about making a difference in healthcare, this is the place for you.

Benefits

Health and Wellness Benefits

401(k)

Paid Time Off

Parental Leave

Disability and Life Insurance

Tuition Reimbursement

Employee Assistance

Paid Holidays

Qualifications

• 2 years of direct clinical care experience required.
• Strong verbal and written communication skills essential.

Responsibilities

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

Skills

Clinical Care Experience

Communication Skills

Analytical Skills

Proficiency in Word, Excel, PowerPoint

Bilingual in English and Spanish

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Database Management

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 invests 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, engaging them in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. Responsibilities include conducting health screenings, comprehensive health assessments, and care planning, which may involve home or facility visits for complex and specialized populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of direct clinical care experience in a clinical setting, or an unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), 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 licensees relocating to the state of operations, active, unrestricted RN licensure must be obtained within 90 days of hire.
• At least 3 years of wellness or managed care experience involving clinical issues with members and physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills, including discussing medical needs and interfacing with staff, management, vendors, and community resources.
• Analytical skills, including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, database management, and web-based applications.
• Current, unrestricted driver's license, transportation, and applicable insurance.
• Willingness and ability to travel within the assigned territory.

Preferred Job Qualifications:

• 3+ years of direct clinical experience.
• Experience in Oncology and Behavioral Health Care.
• Patient education and condition management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certifications in Case Management, Training, Project Management, or other recognized healthcare fields.
• Experience with Government Programs and Population Management.

Telecommute Details

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

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

Additional Information

If referred by a connection at HCSC, inquire about our Employee Referral process.

Pay Transparency: We offer a comprehensive benefits package, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability and life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Details available at https://careers.hcsc.com/totalrewards. Compensation varies based on skills and experience, with potential for an annual incentive bonus.

Equal Opportunity Statement

We are committed to diversity and inclusion. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$26.37 - $58.19