Government Programs Care Manager l

Health Care Service Corporation; Town of Texas, Richardson (WI, TX); Remote; Full time

Job summary

Join a purpose-driven company as a member coordinator, responsible for educating members on health care programs and addressing their needs. This remote role requires strong communication skills and experience in managed care systems. Enjoy a supportive work environment with meaningful benefits.

Benefits

Health and wellness benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Employee assistance

Paid holidays

Tuition reimbursement

Qualifications

• Bachelor's degree or equivalent experience in managed care systems.
• Experience coordinating member medical needs and analyzing member needs.

Responsibilities

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

Skills

Customer service skills

Strong verbal communication

Strong written communication

Knowledge of medical terminology

Education

Bachelor of Social Work

Bachelor of Psychology

Licensed Practical Nurse (LPN)

Registered Nurse (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 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.
• Strong verbal and written communication skills, including developing correspondence to members and department personnel, 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 experience with professional phone interactions - 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 Telecommute (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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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, we offer meaningful benefits including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and other incentives. Learn more at https://careers.hcsc.com/totalrewards.

The offered compensation varies based on skills, education, and experience and may include 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