Government Programs Care Manager III - Springfield, IL

IL PLAN; Springfield (IL); Remote; Full time

Job summary

A healthcare organization is seeking a Care Coordinator to provide telephonic and field-based care management. The role involves health screenings and patient education, requiring an RN or equivalent licensure. Ideal candidates will have strong communication skills, analytical experience, and a willingness to travel within the assigned territory. This remote position allows flexibility while providing valuable support to patients and their health goals.

Qualifications

• Registered Nurse (RN) with 2 years of direct clinical care experience.
• Current, valid, unrestricted license in IL.
• 3 years of wellness or managed care experience.
• Bilingual in English and Spanish preferred.

Responsibilities

• Provide telephonic/field-based care coordination.
• Conduct health screenings and comprehensive health assessments.
• Support clinical operations with provider and member activities.

Skills

Strong verbal and written communication

Analytical experience

Knowledge of health and wellness marketplace

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Licensed Clinical Professional Counselor (LCPC)

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Licensed Professional Clinical Counselor (LPCC)

Licensed Independent Social Worker (LISW)

Licensed Mental Health Counselor (LMHC)

Tools

PC applications (Word, Excel, PowerPoint)

Database experience

Web-based applications

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.

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

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of direct clinical care experience in a clinical setting, 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). For licensees relocating to the state of operation, active, unrestricted RN 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, 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.
• Willingness and ability to travel within the assigned territory.

Preferred Job Qualifications:

• Resides in Sangamon County.
• Experience with Waiver programs, Home and Community Based Services, Housing programs, and managing complex or catastrophic cases.
• Additional clinical experience, patient education, and condition management background.
• Bilingual in English and Spanish.
• Certification in Case Management, Training, Project Management, or other recognized healthcare certifications.
• Experience with government programs and population management.

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

#LI-Remote

Compensation: $26.37 - $58.19

Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement:

We are an Equal Opportunity Employer committed to a diverse and inclusive workplace. 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.

To learn more about our benefits, visit https://careers.hcsc.com/totalrewards