Government Programs Care Manager III (Santa Fe, NM)

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

Job summary

Join a purpose-driven company that values your professional growth! This remote role involves providing care coordination and health education to members, ensuring they achieve their health goals. As a key player in clinical operations, you'll engage with members and providers, conduct assessments, and support wellness initiatives. With a comprehensive benefits package and an emphasis on employee development, this position offers a fulfilling career path in the healthcare industry. If you're passionate about making a difference in people's lives, this opportunity is perfect for you!

Benefits

Health and Wellness Plans

401(k)

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

Tuition Reimbursement

Qualifications

• Registered Nurse or equivalent with 2 years of clinical experience.
• Excellent communication and analytical skills are essential.

Responsibilities

• Provide care coordination and educate members on health programs.
• Conduct health screenings and assessments for members.

Skills

Clinical Care Experience

Communication Skills

Analytical Skills

Bilingual (English and Spanish)

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Microsoft Word

Microsoft Excel

Database Management

Job description

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 provides care coordination to members via telephonic and/or field-based care management. Responsibilities include informing and educating members on health care programs, engaging them in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. The role involves conducting health screenings, assessments, and care planning, which may include home or facility visits for complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of clinical care experience or a 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.
• Current, valid, unrestricted license in the state of operation (or reciprocity). New licensees relocating must obtain active, unrestricted licensure within 90 days.
• At least 3 years of wellness or managed care experience involving clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Excellent verbal and written communication skills, including discussing medical needs and interfacing with staff, 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 insurance; willingness to travel within the territory.

Preferred Job Qualifications:

• 3 years of direct clinical experience.
• Patient education experience.
• Condition Management experience.

This role is remote: candidates must reside within 250 miles of the office or within the state.

Additional Qualifications:

• 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 and population management.

Referral and Benefits

If referred, inquire about our Employee Referral process. We offer comprehensive benefits including health and wellness plans, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, holidays, tuition reimbursement, and more. Details at https://careers.hcsc.com/totalrewards. Compensation varies based on skills and experience, with potential for an annual incentive bonus.

Equal Opportunity Statement

HCSC is 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.

Pay Range

$26.37 - $58.19 per hour