Remote Government Programs Care Manager III (RN)

Health Care Service Corporation; Illinois; Remote; USD 48,000 - 80,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Government Programs Care Manager III to provide telephonic and field-based care coordination for members. The role supports clinical operations, educates members about health programs, and may involve home or facility visits within the continental United States.

Ideal candidates have an RN or equivalent license, 2 years of direct clinical care, and 3 years in wellness or managed care. A valid driver’s license and insurance are required.

Qualifications

• Registered Nurse (RN) or equivalent clinical license (LCPC, LCSW, LMFT) required.
• 2 years of direct clinical care experience.
• 3 years of wellness or managed care experience preferred.
• Current unrestricted license in the state of operations.
• Current unrestricted driver’s license, transportation, and applicable insurance.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Inform and educate members on health care programs to address personal health needs.
• Engage members in discussions about adherence to personal health goals.
• Respond to inquiries from members and support clinical operations with provider and member activities.
• Complete member telephonic and/or field-based health screenings and comprehensive health assessments.
• Conduct care planning duties, which may require visits to members’ homes and/or facilities.
• Present clinical issues to members and physicians.
• Analyze medical data and communicate findings effectively.
• Travel within assigned territory as needed.

Education

RN or equivalent clinical license (LCPC, LCSW, LMFT)

Job description

Health Care Service Corporation (HCSC) is seeking a Government Programs Care Manager III to provide telephonic and field-based care coordination for members. The role supports clinical operations, educates members about health programs, and may involve home or facility visits within the continental United States.

Ideal candidates have an RN or equivalent license, 2 years of direct clinical care, and 3 years in wellness or managed care. A valid driver’s license and insurance are required.