Government Programs Care Manager III - 743

Health Care Service Corporation; Chicago (IL); Remote; Full time

Job summary

Health Care Service Corporation is seeking a care coordination specialist to manage telephonic and field-based care for members. The role involves health assessments, member engagement, and support for clinical operations. Candidates should possess an RN license or equivalent professional credentials and have strong communication and analytical skills. This is a remote position with specific residency requirements.

Qualifications

• Registered Nurse (RN) with 2 years of clinical care experience or equivalent licensure.
• Knowledge of health and wellness marketplace.
• Experience in managed care is a plus.

Responsibilities

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

Skills

Verbal communication

Written communication

Analytical skills

Education

Registered Nurse (RN) or equivalent licensure

Tools

Word

Excel

PowerPoint

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to 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.

This is a Union RoleJob SummaryThis position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties which may require visits to members' homes and/or facilities to support complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL) or 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 compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
• Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
• Analytical experience including medical data analysis.
• PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
• Current unrestricted driver's license, transportation and applicable insurance.
• Ability and willingness to travel within assigned territory.

Telecommute:
This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

** For acquired employees, employee must have been with the Company and in their current role for at least 12 months following closing of the acquisition. Prior service with the acquired company is not recognized for this purpose.

Additional exceptions may apply in accordance to our union contract with Teamsters 743.

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HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$34.90 - $57.89