Government Programs Care Manager III (Santa Fe, NM)

Health Care Service Corporation; Las Vegas (NM); Remote; Full time

Job summary

An established industry player is seeking a dedicated Government Programs Care Manager to provide vital care coordination. This role involves telephonic and field-based management, ensuring members receive the support they need to achieve their health goals. With a focus on wellness and managed care, you'll engage with diverse populations and utilize your clinical expertise to make a significant impact. Join a purpose-driven company that values professional development and offers a comprehensive benefits package, including health and wellness benefits, 401(k), and more. If you're passionate about healthcare and making a difference, this opportunity is for you!

Benefits

Health and Wellness Benefits

401(k)

Pension

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

Tuition Reimbursement

Employee Assistance Programs

Paid Holidays

Qualifications

• 2 years of direct clinical care experience required.
• Must have a valid RN license or equivalent licensure.
• Experience in wellness or managed care is essential.

Responsibilities

• Provide care coordination via telephonic and field-based management.
• Engage members in discussions about health goals and adherence.
• Complete health screenings and assessments for members.

Skills

Registered Nurse (RN)

Clinical Care Experience

Verbal and Written Communication

Analytical Skills

PC Proficiency (Word, Excel, PowerPoint)

Bilingual (English and Spanish)

Education

Registered Nurse License

Healthcare Certifications

Tools

Databases

Web-based Applications

Job description

Government Programs Care Manager III (Santa Fe, NM) page is loaded

Government Programs Care Manager III (Santa Fe, NM)

Apply locations NM - Santa Fe NM - Los Alamos NM - Espanola NM - Las Vegas time type Full time posted on Posted 5 Days Ago job requisition id R0042258

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.

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 on healthcare programs, engaging them in discussions about adherence to personal health goals, responding to inquiries, and supporting clinical operations with provider and member activities. Duties include completing member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may require visits to members’ homes or facilities, especially for complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of direct clinical care experience in a clinical setting, or licensed professionals such as LPC, LMSW, LCPC, LCSW, LMFT, LPCC, LISW, or LMHC with 2 years of clinical practice.
• Current, valid, unrestricted license in the state of operation (or reciprocity). If relocating, active licensure within 90 days of hire.
• Plus 3 years’ wellness or managed care experience involving clinical issues with members/physicians.
• Knowledge of health and wellness marketplace and employer trends.
• Strong verbal and written communication skills for discussing medical needs and interfacing with staff, vendors, and community resources.
• Analytical skills including medical data analysis.
• PC proficiency in Word, Excel, PowerPoint, databases, 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 and condition management experience.

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

• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Project Management, or other healthcare certifications.
• Experience with Government Programs and Population Management.

Additional Information:

Referred candidates should inquire 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 programs, paid holidays, tuition reimbursement, and more. Details at https://careers.hcsc.com/totalrewards.

Compensation varies based on skills, education, and experience. The role is eligible for an annual incentive bonus.

HCSC Employment Statement:

We are committed to equal opportunity employment, welcoming diversity and respecting all individuals. Qualified applicants will be considered regardless of race, religion, gender, sexual orientation, or other protected characteristics.

Base Pay Range

$26.37 - $58.19

Interested but no suitable openings? Join our talent community to stay updated on new opportunities.

HCSC has a long-standing commitment to accessible, high-quality healthcare and empowering our members. We foster innovation and diversity, and we seek individuals who want to make a difference in healthcare delivery.

We are an equal opportunity employer, committed to a drug-free and smoke-free workplace. For accommodations during the application process, contact 1-866-977-7378. All applications must be submitted via our online platform.

Blue Cross and Blue Shield divisions of HCSC, a Mutual Legal Reserve Company, and licensee of the Blue Cross and Blue Shield Association.