Government Programs Care Manager l

CareerArc; Nashville (TN); Remote; Full time

Job summary

A leading company in health care services seeks a dedicated professional to contact members and educate them on health care programs. This remote role involves addressing personal health plan needs and supporting clinicians. Ideal candidates will have experience in managed care systems and strong communication skills. Join a purpose-driven team that values professional development and offers competitive compensation.

Qualifications

• Bachelor's degree or equivalent experience required.
• Experience in managed care systems or care coordination.

Responsibilities

• Contact members to inform and educate on health care programs.
• Engage members in discussions about adherence to health plans.
• Support clinicians with provider and member activities.

Skills

Customer service skills

Verbal communication skills

Written communication skills

Knowledge of medical terminology

Education

Bachelor of Social Work

Bachelor of Psychology

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 will invest in your professional development.

Position 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 of care coordination for a state-managed or waiver program OR 3 years of 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
• Verbal and written communication skills, including developing correspondence to members and staff, and coaching skills such as motivational interviewing to educate members on medical issues

Preferred Qualifications:

• 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
• Spanish bilingual skills - a plus

Sponsorship will not be provided for this role.

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

Work Schedule: Standard 8-hour day

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Compensation: $19.65 - $43.74. Exact salary may vary based on skills, experience, and location.

Equal Opportunity Employment:

We are an Equal Opportunity Employer committed to a diverse and inclusive workplace. 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.

To learn more about our benefits, visit https://careers.hcsc.com/totalrewards.