Government Programs Care Manager III

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

Job summary

Join a purpose-driven company that empowers employees to grow and develop rewarding careers. This remote position focuses on care coordination, engaging members in their health journeys, and supporting clinical operations. You'll conduct health screenings and assessments, ensuring members receive the necessary guidance and support. With a commitment to professional development and a comprehensive benefits package, this role offers a fulfilling opportunity to make a significant impact in the healthcare sector. If you're passionate about improving lives and want to be part of a dynamic team, this position is perfect for you.

Benefits

Health Insurance

401(k)

Paid Time Off

Tuition Reimbursement

Employee Assistance Program

Pension Plan

Parental Leave

Disability Insurance

Life Insurance

Holidays

Qualifications

• 2 years of clinical care experience required.
• Excellent verbal and written communication skills essential.
• Proficiency in Microsoft Office applications necessary.

Responsibilities

• Provide care coordination via telephonic and field-based management.
• Complete health screenings and comprehensive assessments.
• Engage members in discussions about their health goals.

Skills

Clinical Care Experience

Communication Skills

Analytical Skills

Knowledge of Health Marketplace

Bilingual in English and Spanish

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Word

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 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. Responsibilities include completing health screenings, comprehensive assessments, and care planning, which may involve home or facility visits for complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of clinical care experience 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.
• Current, valid, unrestricted license in the state of operation (or reciprocity). For licensees relocating, active licensure must be obtained within 90 days of hire.
• Plus 3 years of wellness or managed care experience with clinical interaction with members and physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Excellent 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, database management, 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 and Behavioral Health Care.
• Patient education and condition management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Project Management, or other health care certifications.
• Experience with government programs and population management.

Telecommute

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

#LI-TELECOMMUTE #LI-AK1 #INAK

Referral and Compensation

If referred, inquire about our Employee Referral process. Compensation varies based on skills, education, and experience, with potential for an annual incentive bonus.

Benefits and Equal Opportunity

HCSC offers comprehensive benefits including health, wellness, 401(k), pension, paid time off, parental leave, disability, life insurance, employee assistance, holidays, tuition reimbursement, and more. Details at https://careers.hcsc.com/totalrewards.

We are an Equal Opportunity Employer committed to diversity and inclusion.

Base Pay Range

$26.37 - $58.19