Health Care Service Corporation

Government Programs Care Manager III - 743

Health Care Service Corporation$72K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse (RN) or various licensed counseling/social work certifications with 2 years clinical experience.
  • Current, unrestricted state license required; compact licensees must obtain state licensure within 90 days of hire.
  • At least 3 years of wellness or managed care experience.
  • Strong knowledge in health and wellness industry trends.
  • Excellent verbal and written communication skills for member interaction and collaboration with teams.
  • Experience with medical data analysis is essential.
  • Proficiency in Microsoft Office and web-based applications.
  • Valid driver's license and ability to travel within the assigned area.

Responsibilities

  • Provide telephonic and/or in-person care coordination to health program members.
  • Educate members on healthcare programs addressing their health needs.
  • Engage members in discussions about their personal health goals and adherence strategies.
  • Conduct health screenings and comprehensive health assessments, requiring home visits as needed.
  • Support clinical operations through member and provider interactions.
  • Respond to member inquiries and facilitate access to community resources.
  • Create and implement individualized care plans based on member assessments.

Benefits

  • Participation in a union role with potential collective bargaining agreements.
  • Flexibility of telecommuting while servicing local members.
  • Opportunities to impact community health through direct member engagement.
Full Job Description
This is a Union Role

Job Summary

This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties which may require visits to members' homes and/or facilities to support complex and specialty populations

Required Job Qualifications:
  • Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL) or 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) with 2 years of clinical practice experience.
  • Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
  • Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians.
  • Knowledge of the health and wellness marketplace and employer trends.
  • Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
  • Analytical experience including medical data analysis.
  • PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
  • Current unrestricted driver's license, transportation and applicable insurance.
  • Ability and willingness to travel within assigned territory.


This is a Union role. This is a Union Telecommute (Remote) role. Must reside within a 60-mile radius of the Chicago office

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Base Pay Range
$34.90 - $57.89

Exact compensation may vary based on skills and experience.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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