Holistic Health Specialist (Employee Retirement Systems)

Health Care Service Corporation; Austin (TX); Remote; USD 60,000 - 134,000; Full time

Job summary

Join a leading health care organization as a Registered Nurse, responsible for managing care and acting as a liaison for members and healthcare personnel. This remote role emphasizes professional development and offers a comprehensive benefits package. Ideal candidates will possess strong clinical and communication skills, with a focus on quality care and cost-effective outcomes.

Benefits

Health and Wellness Benefits

401(k)

Pension

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

Tuition Reimbursement

Qualifications

• At least 2 years of clinical practice experience delivering direct clinical care.
• Minimum 1 year of experience in care or condition management.

Responsibilities

• Performing a variety of functions as the single source of contact for members.
• Consulting with physicians and evaluating options for health needs.
• Providing education and resources for member self-education.

Skills

Communication

Analytical Skills

Decision-Making

Education

Registered Nurse (RN)

Tools

PC 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 performing a variety of functions and serves as the single source of contact for members, healthcare personnel, and other entities involved in managing care. Responsibilities include identifying alternative treatment programs, consulting with physicians, providers, and members to evaluate options and services needed to meet health needs, promoting quality and cost-effective outcomes, and acting as a liaison to physicians and members. Additional duties involve determining member treatment assignments, providing pre-admission and post-discharge counseling for acute conditions, establishing relationships with members, handling immediate post-discharge follow-up, and providing education and resources to encourage member self-education. The role also involves assessing members for wellness education and disease management, introducing members to website tools, educating on wellness and specific conditions, and coordinating care for identified members. Oversight of holistic health coordinators is also part of the role.

Job Requirements

• Registered Nurse (RN) with current, valid, unrestricted license in the state of operation
• At least 2 years of clinical practice experience delivering direct clinical care
• Minimum 1 year of experience in care or condition management within a health insurance or managed care setting
• Proficiency in PC applications including Word, Excel, Lotus Notes, and database management
• Excellent verbal and written communication skills
• Familiarity with ancillary services such as HHC, SNF, Hospice, etc.
• Strong analytical skills
• Decision-making skills and sound clinical judgment to oversee staff

Preferred Job Requirements

• Experience in case management
• Managing complex or catastrophic health cases
• Specialty clinical experience in areas such as intensive care, orthopedics, NICU/pediatric, oncology, diabetic management, or maternity care
• Progress toward or completion of certifications like CCM, CCP, CDE, MCG, or an advanced degree
• Knowledge of Milliman Guidelines or similar clinical guidelines
• Understanding of medical management policies and procedures

#LI-DP1

#LI-REMOTE

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

Referral Process: If you're being referred to this role, ask your connection at HCSC about our Employee Referral process!

Pay Transparency: At HCSC, we offer comprehensive benefits including health and wellness, 401(k), pension, paid time off, parental leave, disability, 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, and may include an annual incentive bonus.

Equal Opportunity Statement

HCSC is committed to an inclusive environment. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range: $60,300 - $133,400