Government Programs Care Manager III (Roswell, NM)

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

Job summary

Join a purpose-driven company as a medical management professional responsible for health education programs. This remote role involves care planning and coordination, requiring strong communication and analytical skills. Candidates must have relevant licenses and experience.

Benefits

Health and wellness benefits

401(k)

Pension plan

Paid time off

Parental leave

Disability insurance

Life insurance

Tuition reimbursement

Qualifications

• 2 years of direct clinical care experience required.
• Current, valid, unrestricted license in the state of operation.

Responsibilities

• Conduct medical management and health education programs.
• Gather and analyze data for regulatory reports.

Skills

Communication

Analytical Skills

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Microsoft Word

Microsoft 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 invests in your professional development.

Job Summary

This position is responsible for conducting medical management and health education programs for customers on government health care programs. Key responsibilities include gathering, analyzing, and providing data for regulatory reports, performing assessments, care planning, and care coordination in members' homes and telephonically. The role involves representing the company to members, providers, and state regulators.

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 of direct clinical care experience in a clinical setting.
• Current, valid, unrestricted license in the state of operation (or reciprocity). For compact licensees relocating to the state of operation, active, unrestricted RN licensure must be obtained within 90 days of hire.
• 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 experience, including medical data analysis.
• Proficiency in PC applications such as Word, Excel, PowerPoint, database experience, and web-based applications.
• Current, unrestricted driver's license, transportation, and applicable insurance.
• Ability and willingness to travel within the assigned territory.

Preferred Job Qualifications:

• Over 1 year of wellness or managed care experience.
• At least 3 years of clinical experience.
• Patient education experience.
• Condition management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management, or other recognized healthcare certifications.

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

Additional Information

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

Pay Transparency Statement:

At Health Care Service Corporation, we offer meaningful benefits to support your life outside of work, including health and wellness benefits, 401(k), pension plan, 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. This role may be eligible for an annual incentive bonus plan, subject to plan terms.

HCSC Employment Statement

We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$26.37 - $58.19