Health Care Service Corporation

Government Programs Care Manager III - 743

Health Care Service Corporation$72K — $120K *
US-AnywhereRemote in Chicago, IL
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse (RN) or relevant licensed mental health professional with 2+ years of direct clinical care experience.
  • Current, valid license in relevant state or ability to obtain within 90 days of hire.
  • 3+ years of wellness or managed care experience working with members/physicians.
  • Strong knowledge of health and wellness trends and the marketplace.
  • Excellent verbal and written communication skills for member and internal interactions.
  • Experience with medical data analysis.
  • Proficient in MS Office and web-based applications.
  • Valid driver's license and transportation for potential travel within assigned area.

Responsibilities

  • Provide telephonic and/or field-based care coordination to members.
  • Educate members on health care programs tailored to their personal health needs.
  • Engage members in discussions about adherence to their health goals.
  • Respond to member inquiries effectively, offering support.
  • Complete health screenings and assessments, potentially visiting members in their homes or facilities.
  • Support clinical operations by collaborating with providers and participating in member activities.

Benefits

  • Union role offering negotiation power and job security.
  • Telecommute flexibility with requirements for on-site visits as needed.
  • Supportive work environment focused on member health and wellness.
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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