Government Programs Care Manager l

Health Care Service Corporation; Albuquerque (NM); Remote; Full time

Job summary

Join a purpose-driven company as a member contact specialist, responsible for educating members on health care programs and supporting clinicians. This remote role requires strong communication skills and a background in social work or nursing. Enjoy a comprehensive benefits package and competitive compensation.

Benefits

Health and wellness benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Tuition reimbursement

Qualifications

• Bachelor's degree or equivalent experience required.
• Proficiency in PC applications including Microsoft Office.

Responsibilities

• Contact members to inform and educate about health care programs.
• Engage members in discussions about adherence to their health plans.
• Support clinicians in Medical Management department.

Skills

Customer service skills

Strong verbal communication

Strong written communication

Knowledge of medical terminology

Education

Bachelor of Social Work or Psychology

LVN, LPN

RN

Tools

Microsoft Office

Job description

At HCSC, our employees are the cornerstone of our business and the foundation of 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 invests in your professional development.

Job Summary

This position is responsible for contacting identified members to inform and educate them on health care programs, addressing their personal health plan needs, engaging members in discussions about adherence to their health plans, responding to inquiries, and supporting clinicians in the Medical Management department with provider and member activities.

Job Requirements:

• Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
• Knowledge of medical terminology
• Experience coordinating member medical needs, providing assistance, and analyzing needs
• Proficiency in PC applications including Microsoft Office
• Customer service skills
• Strong verbal and written communication skills, including developing correspondence and coaching skills such as motivational interviewing to educate members on medical issues

Preferred Requirements:

• Case Management experience - HIGHLY PREFERRED
• Professional communication skills and phone experience - HIGHLY PREFERRED
• LPN - HIGHLY PREFERRED
• Nurses must be licensed in their state(s)
• Payor insurance experience

Sponsorship will not be provided for this role.

This is a remote role: must reside within 250 miles of the office or within the posted state.

Work Schedule: Standard 8 hours per day

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Referral and Benefits

Ask your connection at HCSC about our Employee Referral process if you're being referred.

Pay Transparency Statement: We offer a comprehensive benefits package including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, holidays, tuition reimbursement, and more. Learn more at https://careers.hcsc.com/totalrewards.

Compensation varies based on skills, education, and experience. This role includes an annual incentive bonus plan, subject to plan terms.

HCSC Employment Statement

We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range: $19.65 - $43.74