Government Programs Care Manager III (Roswell, NM)

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

Job summary

A leading health care organization is seeking a dedicated professional to provide telephonic and field-based care coordination. The role involves educating members on health care programs, conducting health assessments, and supporting clinical operations. Candidates should possess relevant licenses and experience in clinical care and managed care settings. This remote position requires travel within the assigned territory.

Benefits

Comprehensive benefits package

401(k)

Paid time off

Tuition reimbursement

Qualifications

• 2 years of clinical care experience required.
• 3 years of wellness or managed care experience preferred.

Responsibilities

• Provide care coordination to members via telephonic and field-based management.
• Conduct health screenings and comprehensive health assessments.

Skills

Communication

Analytical Skills

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Word

Excel

PowerPoint

Job description

Job Summary

This position is responsible for providing care coordination to members via telephonic and/or field-based care management. The goal is to inform and educate them on health care programs, address their personal health needs, engage them in discussions about adherence to health goals, respond to inquiries, and support clinical operations with provider and member activities. The role includes conducting member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may involve visits to members' homes or facilities to support complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of clinical care experience 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). If changing residence to the state of operation, active licensure must be obtained 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 for discussing medical needs with members and interfacing with internal staff, management, external vendors, and community resources.
• Analytical skills including medical data analysis.
• Proficiency in Word, Excel, PowerPoint, database experience, and web-based applications.
• Current, unrestricted driver's license, transportation, and applicable insurance.
• Willingness and ability to travel within the assigned territory.

Additional Information:

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

Referral and Benefits:

If you are being referred, ask your connection at HCSC about our Employee Referral process. 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 more. Learn more at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, and experience, with potential for an annual incentive bonus.

Equal Opportunity Employer:

We are committed to an inclusive environment where all employees are valued and respected. 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