Government Programs Care Manager III - 743 - Work From Home

Health Care Service Corporation; Illinois; Remote; USD 48,000 - 80,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Government Programs Care Manager III to provide telephonic and field-based care coordination for members. The role supports clinical operations, educates members about health programs, and may involve home or facility visits within the continental United States.

Ideal candidates have an RN or equivalent license, 2 years of direct clinical care, and 3 years in wellness or managed care. A valid driver’s license and insurance are required.

Qualifications

• Registered Nurse (RN) or equivalent clinical license (LCPC, LCSW, LMFT) required.
• 2 years of direct clinical care experience.
• 3 years of wellness or managed care experience preferred.
• Current unrestricted license in the state of operations.
• Current unrestricted driver’s license, transportation, and applicable insurance.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Inform and educate members on health care programs to address personal health needs.
• Engage members in discussions about adherence to personal health goals.
• Respond to inquiries from members and support clinical operations with provider and member activities.
• Complete member telephonic and/or field-based health screenings and comprehensive health assessments.
• Conduct care planning duties, which may require visits to members’ homes and/or facilities.
• Present clinical issues to members and physicians.
• Analyze medical data and communicate findings effectively.
• Travel within assigned territory as needed.

Education

RN or equivalent clinical license (LCPC, LCSW, LMFT)

Job description

About This Role

The Government Programs Care Manager III is responsible for providing care coordination to members through telephonic and field-based care management. This role is ideal for experienced professionals who are passionate about engaging members in their health care programs and supporting clinical operations.

Highlights

• Pay: $35 - $58/hour
• Location: Chicago, IL
• Schedule: Remote position available within the continental United States, excluding California, New York, Alaska, and Hawaii.

What You'll Do

• Provide care coordination to members via telephonic and/or field-based care management.
• Inform and educate members on health care programs to address personal health needs.
• Engage members in discussions about adherence to personal health goals.
• Respond to inquiries from members and support clinical operations with provider and member activities.
• Complete member telephonic and/or field-based health screenings and comprehensive health assessments.
• Conduct care planning duties, which may require visits to members’ homes and/or facilities.
• Present clinical issues to members and physicians.
• Analyze medical data and communicate findings effectively.
• Travel within assigned territory as needed.

Requirements

Education:

• Registered Nurse (RN) or equivalent clinical license (LCPC, LCSW, LMFT) required.

Experience:

• 2 years of direct clinical care experience in a clinical setting.
• 3 years of wellness or managed care experience preferred.

Licenses & Certifications:

• Current, valid, unrestricted license in the state of operations.
• Current unrestricted driver’s license, transportation, and applicable insurance.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is a leading healthcare provider committed to delivering exceptional patient care. They empower employees with development plans that foster growth and promote fulfilling careers in a purpose-driven environment.