Government Programs Care Manager III - Springfield, IL

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

Job summary

Join a leading health care service provider as a care coordinator. This remote role involves educating members on health care programs, conducting assessments, and supporting clinical operations. Ideal candidates will have a nursing or counseling background with strong communication skills. The position offers competitive compensation based on experience and skills.

Qualifications

• 2 years of clinical care experience required.
• Must have a valid, unrestricted license in the state of operation.

Responsibilities

• Provide care coordination to members via telephonic and field-based management.
• Conduct health screenings and comprehensive assessments.

Skills

Communication

Analytical Skills

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Word

Excel

PowerPoint

Job description

Join HCSC and Grow Your Career

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.

Position Overview

This role involves providing care coordination to members via telephonic and/or field-based care management. Responsibilities include informing and educating members on health care programs, addressing personal health needs, engaging members in adherence to health goals, responding to inquiries, and supporting clinical operations with provider and member activities. The position may require conducting health screenings, comprehensive assessments, and care planning, including visits to members' homes or facilities for complex and specialty populations.

Required Job Qualifications

• Registered Nurse (RN) with 2 years of 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) with 2 years of clinical practice.
• Current, valid, unrestricted license in the state of operation (or reciprocity). For licensees relocating, active unrestricted RN licensure in the new state must be obtained within 90 days of hire.
• Plus 3 years of wellness or managed care experience addressing clinical issues with members and physicians.
• Knowledge of the 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.
• Proficiency in Word, Excel, PowerPoint, database management, and web-based applications.
• Valid driver’s license, transportation, and insurance.
• Willingness to travel within the assigned territory.

Preferred Job Qualifications

• Residence in Sangamon County.
• Experience with Waiver programs, Home and Community Based Services, housing programs, and managing complex cases.
• Patient education and condition management experience.
• Bilingual in English and Spanish.
• Certifications in Case Management, Project Management, or related healthcare fields.
• Experience with government programs and population management.

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

#LI-Remote

Compensation: $26.37 - $58.19 per hour, commensurate with skills, experience, and location.

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.

Learn more about our benefits here.