Government Programs Care Manager III - Work From Home

HCSC Group; United States; On-site; USD 42,000 - 76,000; Full time

Job summary

HCSC is seeking a registered nurse with strong care coordination skills to support member health through telephonic and field-based management. The role involves educating members on health programs, addressing personal health needs, and guiding adherence to health goals.

Responsibilities include health screenings, assessments, and care planning, with potential home or facility visits in a travel-friendly territory.

Qualifications

• Active RN license in TX or reciprocity.
• Current, valid, unrestricted license in the state of operations.
• 2 years direct clinical care experience.
• 3 years wellness or managed care experience.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Inform and educate members on health care programs to address personal health needs.
• Engage member in discussion of adherence to personal health goals.
• Respond to member inquiries and support clinical operations with provider and member activities.
• Complete health screenings, comprehensive health assessments and care planning duties; may require home or facility visits.

Skills

RN

Clinical care

Care coordination

Telephonic care

Field-based care

Health program education

Communication

Analytical skills

Education

RN license in TX

Related counseling/social work license

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 drivers 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
• Level 1 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

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

Compensation: $30.45 - $54.98

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.