Government Programs Care Manager III

Health Care Service Corporation; Richardson (TX); Remote; USD 60,000 - 90,000; Full time

Job summary

Join a purpose-driven company that values employee growth and development. In this role, you will provide essential care coordination to members, ensuring they receive the support they need to achieve their health goals. Your expertise will guide members through health care programs, addressing personal health needs while engaging in meaningful discussions. This position offers a dynamic environment where your contributions directly impact the well-being of individuals. If you're passionate about making a difference in health care and enjoy working collaboratively, this opportunity is perfect for you.

Benefits

401(k)

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

Tuition Reimbursement

Employee Assistance Program

Qualifications

• 2 years of clinical care experience as RN or LPC.
• Strong communication and analytical skills required.

Responsibilities

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

Skills

Registered Nurse (RN)

Clinical Care Experience

Communication Skills

Analytical Skills

Bilingual (English and Spanish)

Education

RN License

LPC or LMSW

Healthcare Certifications

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Database Management

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 health care programs, addressing their personal health needs, engaging members in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. The position may require conducting health screenings, comprehensive assessments, and care planning, which could involve 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 a 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.
• 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 or 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 staff, management, vendors, and community resources.
• Analytical skills, including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, database management, and web-based applications.
• Valid 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.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Project Management, or other recognized healthcare certifications.
• Experience in Population Management.

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If you are being referred to this role, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement

At HCSC, we offer comprehensive benefits including health and wellness plans, 401(k), pension, paid time off, parental leave, disability and life insurance, employee assistance, holidays, tuition reimbursement, and more. Details are available at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, and experience, and may include an annual incentive bonus.

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.