Government Programs Care Manager III - 743 - Work From Home

HCSC Group; United States; Teletrabalho; USD 48 000 - 80 000; Tempo integral

Resumo da oferta

HCSC is seeking a registered nurse or licensed clinician to provide care coordination to members via telephonic and field-based care management. You will educate members on health care programs, discuss goals, and support clinical operations with provider activities.

This role may include home or facility visits to support complex populations; travel within the assigned territory is required. Base pay range is $34.90–$57.89 per hour, and remote work options are available across the continental

Qualificações

• RN with 2 years direct clinical care in a clinical setting.
• Licensed professionals: LCPC, LCSW, or LMFT with 2 years clinical practice.
• Current, valid, unrestricted license in the state of operations.
• For compact licensees, obtain active RN licensure in state of operations within 90 days of hire.
• Plus 3 years wellness or managed care experience.
• Knowledge of the health and wellness marketplace and employer trends.
• Verbal and written communication skills.
• Analytical experience with medical data.
• PC proficiency to include Word, Excel, and PowerPoint; database and web applications.
• Current unrestricted driver’s license; ability to travel.

Responsabilidades

• Provide care coordination to members via telephonic and/or field-based care management.
• Inform and educate members on health care programs.
• Engage the member in discussion of adherence to personal health goals.
• Respond to inquiries from members.
• Support clinical operations with provider and member activities.
• Complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties.
• May require visits to members' homes and/or facilities to support complex populations.

Conhecimentos

Verbal and written communication

Analytical skills

PC proficiency

Willingness to travel

Healthcare knowledge

Formação académica

RN license (state of operations)

LCPC license

LCSW license

LMFT license

Ferramentas

Word

Excel

PowerPoint

Database experience

Web-based applications

Descrição da oferta de emprego

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 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. #LI-MC1 #INAK #LI-Remote

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

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.

Base Pay Range $34.90 - $57.89 Exact compensation may vary based on skills and experience.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families.

As an industry leader, HCSC also has been helping to make the health care system work better for all Americans.

To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions.

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

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