Remote Government Programs Care Manager II

Health Care Service Corp.; Downers Grove (IL); Remote; USD 35,000 - 63,000; Full time

Job summary

Health Care Service Corporation is seeking a care coordination professional to support members through telephonic and field-based care management. You will educate members on health care programs, address personal health needs, and engage in goal-oriented discussions while supporting clinical operations and external partners.

Qualifications include licensed RN or allied professionals with state licensure; willingness to travel, strong communication, and prior wellness or managed care experience.

Qualifications

• RN or licensure in state of operation with 3 years wellness or managed care experience.
• Illinois-specific requirement for high-needs children:Bachelor’s degree in nursing, social sciences, social work, or related field and 1 year supervised clinical experience.

Responsibilities

• Provide care coordination to members via telephonic or field-based care management.
• Educate members on health care programs to address personal health needs.
• Engage members in discussions of adherence to personal health goals and respond to inquiries.
• Complete health screenings, comprehensive health assessments and care planning; may visit homes or facilities.

Skills

Verbal communication

Written communication

PC proficiency

Driver's license

Travel

Education

Bachelor’s degree in nursing, social sciences, social work, or related field

Tools

Word

Excel

PowerPoint

Database experience

Web-based applications

Job description

Health Care Service Corporation is seeking a care coordination professional to support members through telephonic and field-based care management. You will educate members on health care programs, address personal health needs, and engage in goal-oriented discussions while supporting clinical operations and external partners.

Qualifications include licensed RN or allied professionals with state licensure; willingness to travel, strong communication, and prior wellness or managed care experience.