Government Programs Care Manager l

Health Care Service Corporation; Nashville (TN); Remote; Full time

Job summary

Join a leading health care service organization as a member coordinator. This remote role involves educating members on health care programs, addressing their needs, and supporting clinicians. The ideal candidate will have a background in social work or nursing, with strong communication skills and experience in managed care. Comprehensive benefits and competitive pay are offered.

Benefits

Health and wellness plans

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Employee assistance programs

Tuition reimbursement

Paid holidays

Qualifications

• Bachelor's degree or equivalent experience in health care required.
• 3 years managed care systems experience or care coordination experience.

Responsibilities

• Contact members to inform and educate them on health care programs.
• Coordinate member medical needs and provide assistance.

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.

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 personal 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 member needs.
• Proficiency in PC applications including Microsoft Office.
• Customer service skills.
• 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 verbal and written 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: 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

Are you being referred to this role? Ask your connection at HCSC about our Employee Referral process!

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

Compensation varies based on skills, education, and experience and may include an annual incentive bonus.

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.

Pay Range

$19.65 - $43.74