Government Programs Care Manager III - Work From Home

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

Job summary

Health Care Service Corporation is seeking a field- and telephonic care coordinator to support members across the continental United States, with potential home or facility visits for complex populations. The role requires a current RN, LPC, LMSW, LCPC, LCSW, LMFT, LPCC, LISW or related license and at least 2 years of clinical experience.

Responsibilities include health screenings, comprehensive assessments, and coordinated care planning, working with providers and internal teams to address

Qualifications

• Must hold an active, unrestricted RN license in the state of operations or reciprocity.
• Plus 3 years’ wellness or managed care experience with clinical issues
• Strong verbal and written communication with members and internal/external partners
• Analytical data analysis experience and proficiency with Word, Excel, and PowerPoint

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Educate members on health care programs to address personal health needs.
• Complete telephonic and/or field-based health screenings and comprehensive health assessments.
• Perform care planning duties which may require home or facility visits to support complex populations.

Skills

Verbal communication

Written communication

Analytical skills

PC proficiency

Education

Registered Nurse (RN) license

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)

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.

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 , 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

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

#LI-MC1 #INKT

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 plansubject 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 - $54.98

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