Government Programs Care Manager ll

Health Care Service Corporation; Taos (NM); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated care coordinator to join their team. In this role, you will provide essential support to members through telephonic and field-based care management, helping them navigate their health needs. You will engage with members about their health goals, conduct health assessments, and support clinical operations. This position offers a chance to make a real impact in the lives of individuals while working in a collaborative and supportive environment. If you are passionate about healthcare and want to be part of a purpose-driven organization, this opportunity is for you.

Benefits

401(k) plan

Pension

Paid time off

Parental leave

Disability insurance

Life insurance

Employee assistance program

Tuition reimbursement

Qualifications

• Must hold a valid RN or LPC license in the state of operation.
• 3+ years of experience in wellness or managed care required.

Responsibilities

• Provide care coordination and health education to members.
• Conduct health screenings and comprehensive health assessments.

Skills

Verbal and written communication skills

Analytical skills

Knowledge of health and wellness marketplace

3 years of wellness or managed care experience

Bilingual in English and Spanish

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Database applications

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 providing care coordination to members via telephonic and/or field-based care management. The role involves informing and educating members on healthcare programs to address their personal health needs, engaging members in discussions about adherence to health goals, responding to inquiries, and supporting clinical operations, provider, and member activities. It includes conducting health screenings, comprehensive health assessments, and care planning, which may require visits to members' homes or facilities.

Required Job Qualifications:

1. Registered Nurse (RN), 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), or Licensed Mental Health Counselor (LMHC, NM).
2. Current, valid, unrestricted license in the state of operation (or reciprocity). For licensees moving to the state of operation, active, unrestricted RN licensure must be obtained within 90 days of hire.
3. At least 3 years of wellness or managed care experience handling clinical issues with members and physicians.
4. Knowledge of the health and wellness marketplace and employer trends.
5. Strong verbal and written communication skills for discussing medical needs and interfacing with staff, management, vendors, and community resources.
6. Analytical skills, including medical data analysis.
7. Proficiency in Word, Excel, PowerPoint, database experience, and web-based applications.
8. Current, unrestricted driver's license, transportation, and applicable insurance.
9. Willingness and ability to travel within the assigned territory.

Preferred Job Qualifications:

1. Direct clinical experience.
2. Patient education experience.
3. Condition management experience.
4. Bilingual in English and Spanish.
5. Experience managing complex or catastrophic cases.
6. Certification in Case Management, Training, Project Management, or other recognized healthcare certifications.
7. Experience with government programs.

Additional Information

#LI-TELECOMMUTE

#LI-SG1

Referral Process: If referred, ask your connection at HCSC about our Employee Referral process.

Pay Transparency

HCSC offers 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. Details at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, and experience, and may include an annual incentive bonus plan.

Equal Opportunity Employment

We are committed to an inclusive environment and provide consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$21.62 - $48.14