Government Programs Care Manager III - Work From Home

HCSC Group; Illinois; A distancia; USD 42.000 - 76.000; Jornada completa

Descripción de la vacante

HCSC is hiring a Government Programs Care Manager III to coordinate care for members remotely across IL. The role combines telephonic and field-based activities, including health screenings and comprehensive assessments, with travel to member homes or facilities when needed.

Ideal candidates hold an unrestricted RN, LCPC, LCSW, or LMFT license and have 3+ years in wellness or managed care, strong communication, and proficiency with Word, Excel, and PowerPoint.

Formación

• RN or LCPC/LCSW/LMFT with 2 years of clinical practice in a professional setting.
• Active, valid and unrestricted license in the state of operations or reciprocity; for compact licensees, obtain active RN licensure within 90 days.
• 3 years wellness or managed care experience with clinical issues involving members/physicians.
• Strong communication, analytical, and computer skills (Word, Excel, PowerPoint).
• Willingness to travel within the assigned territory.

Responsabilidades

• Provide telephonic and field-based care coordination to inform and educate members about health care programs.
• Conduct health screenings, assessments, and care planning; may visit homes or facilities.
• Engage members in adherence to personal health goals and coordinate with providers and internal teams.
• Interact with external vendors and community resources to support member care.
• Support clinical operations with documentation and data analysis.

Conocimientos

Verbal communication

Written communication

Data analysis

Travel readiness

Bilingual English/Spanish

Educación

RN license (unrestricted)

LCPC (IL)

LCSW (IL & NM)

LMFT (IL & NM)

Herramientas

Word

Excel

PowerPoint

Databases

Web-based applications

Descripción del empleo

Government Programs Care Manager III - Work From Home### Government Programs Care Manager III - Work From HomeApply: Remote: IL - Rockford: IL - Springfield: Posted Today: End Date: November 3, 2026 (5 days left to apply): R0056201At 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.# # **Job Summary**### 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 , Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist **(LMFT, IL** & **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.**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-based care in the Rockford, Springfield & Southern Illinois area.** **Sponsorship is not available.** #LI-MC1#INAK#LI-Remote### **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 Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.This position may be performed remotely from anywhere within the continental United States, **excluding California, New York, Alaska, and Hawaii**.## 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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.# # **Base Pay Range**$30.45 - $54.98Exact compensation may vary based on skills, experience, and location.