Government Programs Care Manager III (Albuquerque, NM)

Health Care Service Corporation; Albuquerque (NM); Remote; USD 80,000 - 100,000; Full time

Job summary

Health Care Service Corporation is seeking a Care Coordinator to provide telephonic and field-based care management to members. The role includes education on healthcare programs, conducting health assessments, and coordinating care for complex patient needs. Applicants must be licensed healthcare professionals with a minimum of 2 years of related experience. This remote position requires candidates to reside within 250 miles of Albuquerque, NM.

Qualifications

• 2 years clinical care experience required.
• Must possess an active, unrestricted healthcare license.
• Strong verbal/written communication skills needed.

Responsibilities

• Conduct telephonic and field health screenings.
• Provide care coordination and member education.
• Support clinical operations with provider activities.

Skills

Communication

Analytical Skills

Wellness Knowledge

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Licensed Clinical Professional Counselor (LCPC)

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Licensed Professional Clinical Counselor (LPCC)

Licensed Independent Social Worker (LISW)

Licensed Mental Health Counselor (LMHC)

Tools

Word

Excel

PowerPoint

Database Management

Job description

At HCSC, our employees are the cornerstone of our business and the foundation of 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 position is responsible for providing care coordination to members via telephonic and/or field-based care management. The role involves informing and educating members on healthcare programs, addressing personal health needs, engaging members in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. The position requires conducting member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may include visits to members’ homes or facilities, especially for complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of direct clinical care experience in a clinical setting, or an unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), 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 operation (or reciprocity). For licensees relocating to the state of operation, active, unrestricted RN licensure must be obtained within 90 days of hire.
• At least 3 years of wellness or managed care experience involving clinical issues with members and physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills, including discussing medical needs with members and interfacing with staff, management, vendors, and community resources.
• Analytical skills, including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, database management, and web-based applications.
• Valid driver’s license, transportation, and applicable insurance.
• Willingness and ability to travel within the assigned territory.

Preferred Job Qualifications:

• 3 years of direct clinical experience.
• Experience in patient education and condition management.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management, or other recognized healthcare certifications.
• Experience with government programs.
• Population management experience.

This is a telecommute (remote) role: candidates must reside within 250 miles of the office or within the posted state.

INAK

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Compensation: $26.37 - $58.19 per hour

Exact compensation varies based on skills, experience, and location.

HCSC Employment Statement:

We are an Equal Opportunity Employer committed to a diverse and inclusive workplace. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Learn more about our benefits at https://careers.hcsc.com/totalrewards