Government Programs Care Manager III

Health Care Service Corporation; Nashville (TN); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading company in health care seeks a dedicated professional for a remote position focused on care coordination. The role involves educating members on health programs, conducting assessments, and supporting clinical operations. Ideal candidates will have clinical experience and strong communication skills, with a commitment to improving member health outcomes. This position offers competitive compensation and the flexibility of telecommuting.

Qualifications

• 2 years of direct clinical care experience required.
• Knowledge of health and wellness marketplace.
• Willingness to travel within assigned territory.

Responsibilities

• Provide care coordination via telephonic and field-based management.
• Conduct health screenings and comprehensive health assessments.
• Support clinical operations with provider and member activities.

Skills

Communication

Analytical

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Word

Excel

PowerPoint

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.

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 health care programs, addressing personal health needs, engaging members in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. Responsibilities include conducting telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may require visits to members’ homes or facilities to support complex and specialty 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 operation (or reciprocity). For licensees relocating, active unrestricted RN licensure in the new state must be obtained within 90 days of hire.
• Plus 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 with members and interfacing with internal staff, management, vendors, and community resources.
• Analytical experience, including medical data analysis.
• Proficiency in PC applications such as Word, Excel, PowerPoint, database experience, 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:

• Fluent in English and Spanish.
• Three years of direct clinical experience.
• Experience in patient education and condition management.
• 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.

Additional Details:

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

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Compensation: $26.37 - $58.19 per hour. Exact pay varies based on skills, experience, and location.

HCSC Employment Statement:

We are an Equal Opportunity Employer committed to a diverse and inclusive environment. 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.

Learn more about our benefits at https://careers.hcsc.com/totalrewards