Government Programs Care Manager III - Work From Home

hcsc; EE. UU.; A distancia; USD 42.000 - 76.000; Jornada completa

Descripción de la vacante

Health Care Service Corporation is seeking a care coordinator to provide telephonic and field-based care management. You will inform and educate members about health programs, engage them in health goal adherence, and support clinical operations with provider and member activities.

Home or facility visits may be required for complex cases. Field sites are in the Bryan/College Station, TX area and the role may be performed remotely within the continental United States, excluding CA, NY, AK, and

Formación

• Active nursing license (RN) or equivalent clinical license in state of operation.
• 2 years direct clinical care experience.
• Strong verbal and written communication abilities.
• Analytical skills with medical data understanding.
• Ability and willingness to travel within assigned territory.

Responsabilidades

• Coordinate care for members via telephonic and field-based settings.
• Conduct health screenings, assessments, and care planning.
• Engage members to educate on health programs and adherence to goals.
• Support clinical operations with provider and member activities.
• May perform home visits or facility visits for complex populations.

Conocimientos

RN license

Clinical care experience

Communication skills

Analytical skills

Willingness to travel

Bilingual in English/Spanish

Descripción del empleo

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

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

#LI-MC1 #INKT

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.

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

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.

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 .

Base Pay Range

$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.