Government Programs Care Manager III (Santa Fe, NM)

Health Care Service Corporation; Santa Fe (NM); Remote; Full time

Job summary

Join a purpose-driven company that values employee development and offers a remote role in care coordination. In this position, you will provide essential support to members, helping them navigate health care programs and achieve their health goals. Your expertise in clinical care will be pivotal in conducting health assessments and planning care for complex populations. This role not only allows you to make a significant impact in the community but also offers a range of benefits that support your well-being and professional growth. If you are passionate about improving health outcomes and want to be part of a dedicated team, this opportunity is for you.

Benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Employee assistance programs

Tuition reimbursement

Paid holidays

Qualifications

• 2 years of direct clinical care experience as RN or LPC.
• Knowledge of health and wellness marketplace trends.

Responsibilities

• Provide care coordination to members via telephonic and field-based management.
• Complete health screenings and care planning for members.

Skills

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Analytical skills

Strong verbal and written communication skills

Education

Bachelor's degree in Nursing or related field

Certification in Case Management

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Database management systems

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 goal is to inform and educate members 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. Responsibilities include completing member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may involve 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 or 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), all with at least 2 years of clinical practice experience.
• Current, valid, unrestricted license in the state of operations (or reciprocity). For licensees relocating to the state of operations, active, unrestricted RN licensure must be obtained within 90 days of hire.
• At least 3 years of wellness or managed care experience involving clinical issues with members and 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 Word, Excel, PowerPoint, database management, and web-based applications.
• Current, unrestricted driver's license, transportation, and applicable insurance.
• Willingness and ability to travel within the assigned territory.

Preferred Job Qualifications:

• 3 years of direct clinical experience.
• Experience in patient education.
• Experience in condition management.

This is a telecommute (remote) role: 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 nationally recognized healthcare certifications.
• Experience with government programs.
• Population management experience.

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 HCSC, we offer meaningful benefits supporting your life outside of work, 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. Learn more at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, and experience, and may include an annual incentive bonus plan.

HCSC Employment Statement

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