Government Programs Care Manager III - Work From Home

HCSC Group; Austin (TX); On-site; USD 37,000 - 81,000; Full time

Benefits offered by this job

Professional development

Equal opportunity employer

Job summary

HCSC Group is seeking a care coordination professional to support members via telephonic and field-based management. You will conduct health screenings, assessments, and care planning, potentially visiting members’ homes or facilities to support complex populations.

The role requires RN or licensed mental health professionals with clinical practice experience and the ability to travel within the assigned territory. Relocation or travel flexibility is expected.

Qualifications

• RN or licensed mental health professional with 2+ years clinical practice.
• Current, unrestricted license in operating state or reciprocity.
• 3+ years wellness or managed care experience.
• Knowledge of health and wellness marketplace and employer trends.
• Verbal and written communication with members and staff.

Responsibilities

• Provide telephonic and field-based care coordination to educate members on health programs.
• Conduct health screenings and comprehensive assessments.
• Engage in care planning and possible home or facility visits for complex populations.

Skills

Clinical care experience

Verbal communication

Analytical skills

PC proficiency

Travel willingness

Education

RN license (TX)

LPC/LCSW/LMFT license (TX/IL/NM)

Tools

MS Word

MS Excel

PowerPoint

Job description

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.

This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties which may require visits to members’ homes and/or facilities to support complex and specialty populations.

Required Job Qualifications

• Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL) or 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 compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
• Plus 3 years’ wellness or managed care experience presenting clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
• Analytical experience including medical data analysis.
• PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
• Current unrestricted driver’s license, transportation and applicable insurance.
• Ability and willingness to travel within assigned territory.

Additional State Specific Requirements

• Texas Only:
  • Level 3 children with behavioral health issues-experience in working with children and young adjusts with similar conditions or behaviors in three of the last 5 years

Preferred Job Qualifications

• 3 years direct clinical experience.
• Patient education experience.
• Condition Management experience.
• Bilingual in English and Spanish.
• Experience in managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management or nationally recognized health care certification.
• Government Programs experience
• Population Management

Field sites located in the Bryan/College Station, TX area.

Compensation: $26.90 - $59.35

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

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.