Government Programs Care Manager III

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

Job summary

A leading health care service provider is seeking a care coordinator to provide telephonic and field-based care management. The role involves educating members on health programs, conducting health assessments, and supporting clinical operations. Candidates should be a Registered Nurse or hold a related license with significant clinical experience. This remote position offers a comprehensive benefits package and opportunities for professional growth.

Benefits

Comprehensive health benefits

Wellness programs

Retirement plans

Paid time off

Incentive bonuses

Qualifications

• RN with 2 years clinical care experience or related license.
• 3 years of wellness or managed care experience.
• Strong communication and analytical skills.

Responsibilities

• Provide care coordination via telephonic and field-based management.
• Conduct health screenings, assessments, and care planning.
• Educate members on health care programs and support clinical operations.

Skills

Communication

Analytical Skills

Clinical Care

Knowledge of Health Marketplace

Education

Registered Nurse (RN)

Licensed Professional Counselor

Social Worker

Tools

Word

Excel

PowerPoint

Databases

Web 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 health care programs, addressing personal health needs, engaging members in discussions about adherence to health goals, responding to member inquiries, and supporting clinical operations with provider and member activities. The position requires completing health screenings, assessments, and care planning, which may include home or facility visits for complex populations.

Required Job Qualifications :

• Registered Nurse (RN) with 2 years of clinical care experience or licensed professional counselor, social worker, or related license with 2 years of clinical practice.
• Valid, unrestricted license in the state of operation, with compliance to reciprocity or licensure requirements.
• 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 for medical discussions and interfacing with staff and external resources.
• Analytical skills including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, databases, and web applications.
• Valid driver’s license, transportation, and insurance, with willingness to travel within the territory.

Preferred Job Qualifications :

• 3+ years of clinical experience.
• Experience in oncology and behavioral health care.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certifications in case management, project management, or healthcare.
• Population management experience.

Telecommute :

This is a remote role. Reside within 250 miles of the office or within the posted state.

Additional Information :

Refer to our Employee Referral process if you are being referred.

Pay Transparency and Benefits :

We offer comprehensive benefits including health, wellness, retirement plans, paid time off, and more. Compensation varies based on skills and experience, with potential for incentive bonuses.

Equal Opportunity Employment :

We are committed to diversity and inclusion, providing equal consideration for all applicants regardless of protected characteristics.