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 purpose-driven company that empowers its employees and invests in their professional development. This telecommute role focuses on providing care coordination to members, engaging them in health discussions, and supporting clinical operations. Ideal candidates will have a strong clinical background, excellent communication skills, and a passion for helping others. With comprehensive benefits and a commitment to diversity, this position offers an exciting opportunity to make a meaningful impact in the health care sector.

Benefits

Health and Wellness Plans

401(k)

Pension

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

Employee Assistance Programs

Tuition Reimbursement

Qualifications

• Must have an active RN license or equivalent clinical license.
• 2 years of direct clinical care experience required.

Responsibilities

• Provide care coordination to members via telephonic and field-based management.
• Complete health screenings and assessments, supporting member health goals.

Skills

Registered Nurse (RN)

Clinical Care Experience

Communication Skills

Analytical Skills

Proficiency in Word, Excel, PowerPoint

Bilingual (English and Spanish)

Education

RN License

LPC, LMSW, LCSW

Tools

Database Applications

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 invests 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 about health care programs, engaging them in discussions about adherence to personal health goals, responding to inquiries, and supporting 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 require visits to members' homes or facilities to support complex and specialty populations.

Required Job Qualifications:

• Registered Nurse (RN) with 2 years of direct clinical care experience 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 operations (or reciprocity). For licensees relocating to the state of operations, 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 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 staff, management, vendors, and community resources.
• Analytical skills including medical data analysis.
• Proficiency in 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:

• Residing in Sangamon County.
• Experience with Home and Community Based Services waivers.
• Housing program experience.
• At least 3 years of direct clinical experience.
• Patient education and condition management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management, or other recognized health care certifications.
• Experience with government programs and population management.

This is a telecommute (remote) role; candidates must reside within 250 miles of the office or within the state.

#LI-Remote

Referral Process: If you are being referred to this role, ask your connection at HCSC about our Employee Referral process!

Pay Transparency and Benefits:

At HCSC, we offer comprehensive benefits including health and wellness plans, 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.

Equal Opportunity Employment Statement:

We are 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.

Base Pay Range: $26.37 - $58.19