Government Programs Care Manager III - (Grants, NM)

Enterprise HCM; Grants (NM); Remote; Full time

Job summary

Join a purpose-driven company as a Telecommute Nurse Case Manager where you will engage with members regarding their healthcare needs. This role requires valid nursing or counseling licenses, offering flexibility and career development in an inclusive work environment. Ideal candidates will possess strong communication and analytical skills, enhancing member engagement and support.

Qualifications

• 2 years clinical experience required.
• Current unrestricted RN or equivalent license needed.
• Ability to communicate medical needs effectively.

Responsibilities

• Contact members to discuss health care programs and needs.
• Engage in discussions of adherence to personal health plans.
• Support Medical Management department activities with clinicians.

Skills

Verbal communication

Written communication

Analytical skills

PC proficiency

Education

Registered Nurse license

Licensed Professional Counselor

Licensed Clinical Social Worker

Licensed Mental Health Counselor

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.

This position is responsible for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquires from members, Meeting with members in there homes and supporting the clinicians in the Medical Management department with their provider and member activities.

Required Job Qualifications:

• Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) with 2 years direct clinical care to the consumer in a clinical setting
• 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.
• 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:

• Plus 1 year wellness or managed care experience.
• 3 years 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.

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

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Compensation: $26.37 - $58.19

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards