Government Programs Care Manager III - 743 - Work From Home

HCSC Group; Chicago (IL); Hybrid; USD 48,000 - 80,000; Full time

Job summary

HCSC is hiring for a field-based care coordination role focused on member health management across telephonic and in-person settings in the Northwest & South Chicagoland area.

The role requires an RN or relevant clinical license with 2+ years of experience, plus 3 years in wellness/managed care. Strong communication, analytical skills, and willingness to travel are essential; bilingual English/Spanish is a plus. This is a union position with compensation in the posted range.

Qualifications

• RN with 2 years direct clinical care in a clinical setting.
• Active, unrestricted license in the state of operations; reciprocity allowed.
• Plus 3 years’ wellness or managed care experience with clinical issues.
• Knowledge of health and wellness marketplace and employer trends.
• Verbal and written communication with members and internal/external stakeholders.
• Analytical experience including medical data analysis.
• PC proficiency including Word, Excel, PowerPoint; database experience.
• Current unrestricted driver’s license and ability to travel within territory.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Educate members on health care programs to address personal health needs.
• Engage members in adherence to personal health goals; respond to inquiries from members.
• Complete member health screenings, health assessments and care planning; may visit homes or facilities.

Skills

Clinical experience

Communication skills

Data analysis

PC proficiency

Driver's license

Travel willingness

Bilingual English/Spanish

Education

RN license (IL)

LCPC/LCSW/LMFT license (IL/NM)

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.

Job Profile 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:

• Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist (LMFT, IL & 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:

• 3 years direct clinical 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
• Population Management

Field-based care in the Northwest & South Chicagoland area.

This is a Union role.

Sponsorship is not available.

Compensation: $34.90 - $57.89

Exact compensation may vary based on skills, experience, and location

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.