Government Programs Care Manager III - 743

Health Care Service Corporation; Downers Grove (IL); Remote; USD 100,000 - 125,000; Full time

Job summary

A healthcare service provider is seeking a Care Coordinator responsible for telephonic and field-based care management. Candidates must be a Registered Nurse or possess equivalent licenses with strong clinical experience. The role includes conducting health assessments and engaging members in their health goals. Offering a competitive salary with remote work flexibility, this position is ideal for those looking to make a meaningful impact in healthcare.

Qualifications

• Registered Nurse with 2 years of clinical experience or licensed mental health counselor.
• Current, valid, unrestricted license in the state of operations.
• 3 years of wellness or managed care experience.

Responsibilities

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

Skills

Clinical care

Communication skills

Analytical skills

PC proficiency

Bilingual in English and Spanish

Education

Registered Nurse (RN) or equivalent licensed professional

Tools

Microsoft Word

Microsoft Excel

Microsoft 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 Role

Job Summary

This 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

(Specify the minimum level of education, experience, knowledge and skill needed to perform this job.)

• 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.

Preferred Job Qualifications

(Specify the preferred level of education, experience, knowledge and skill desired when filling this job.)

• 3 years direct clinical experience.
• Community Health Experience
• Intake Assessment Experience
• NCQA Documentation Experience
• Patient education experience.
• Condition Management experience.
• Bilingual in English and Spanish.
• Experience in managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management or nationally recognized health care certification.
• Government Programs experience

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

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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

Exact compensation may vary based on skills and experience.