Government Programs Care Manager III (Roswell, NM)

Health Care Service Corporation; Albuquerque (NM); Remote; Full time

Job summary

Join a leading health care service provider as a care coordinator. This remote position requires a Registered Nurse or licensed counselor to educate members about health care programs and support clinical operations. Ideal candidates will have strong communication skills and clinical experience. The role involves telephonic and field-based care management, requiring travel within the assigned territory.

Benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Tuition reimbursement

Qualifications

• 2 years of direct clinical care experience required.
• Knowledge of health and wellness marketplace.

Responsibilities

• Provide care coordination via telephonic and field-based management.
• Complete health screenings and assessments.

Skills

Communication

Analytical skills

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Word

Excel

PowerPoint

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.

Job Summary

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 about health care programs to address their personal health needs, engaging them in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. The position requires completing member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may include visits to members' homes or facilities to support 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 operations (or reciprocity). If changing residence to the state of operations, obtain active, unrestricted RN licensure within 90 days of hire.
• Plus 3 years of wellness or managed care experience involving clinical issues with members/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 internal staff, management, external vendors, and community resources.
• Analytical skills, including medical data analysis.
• Proficiency in PC applications such as Word, Excel, PowerPoint, databases, and web-based applications.
• Current unrestricted driver's license, transportation, and applicable insurance.
• Willingness and ability to travel within the assigned territory.

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

Additional Information

Referral Process: If you are being referred to this role, ask your connection at HCSC about our Employee Referral process.

Pay Transparency: At Health Care Service Corporation, we offer a comprehensive benefits package, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and other incentives. Learn more at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, knowledge, and experience. The role may include an annual incentive bonus, subject to plan terms.

Equal Opportunity Employment

We are an Equal Opportunity Employer committed to a diverse and inclusive environment. 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.

Base Pay Range

$26.37 - $58.19