Government Programs Care Manager III

Job Summary Provide care coordination to members via telephonic and/or field-based care management, inform and educate them on health care programs to address their personal health needs, engage in discussions of adherence to personal health goals, respond to inquiries, and support clinical operations with provider and member activities. Perform 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) 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) Licensed Mental Health Counselor (LMHC, NM) 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, obtain active, unrestricted RN licensure in the state of operations within 90 days of hire 3 years of 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; ability to discuss medical needs with members and interface with internal staff, management, external vendors, and community resources Analytical experience including medical data analysis PC proficiency: Word, Excel, PowerPoint, database experience, and web‑based applications Current unrestricted driver’s license, transportation, and applicable insurance Ability and willingness to travel within assigned territory Preferred Job Qualifications 3 years direct clinical experience Patient education experience Condition management experience Bilingual in English and Spanish Experience managing complex or catastrophic cases Certification in case management, training, project management, or nationally recognized healthcare certification Government Programs experience Population management experience Benefits Health and wellness benefits 401(k) savings plan Pension plan Paid time off Paid parental leave Disability insurance Supplemental life insurance Employee assistance program Paid holidays Tuition reimbursement Other incentives Pay Transparency Base pay range: $26.90 - $59.35 per hour. Exact compensation may vary based on skills, experience, and location. The role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan. Equal Opportunity Employment Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Accommodation for Disabled Applicants If you are a disabled applicant needing an accommodation or assistance in using the Careers website or completing the application process, please call View phone number on click.appcast.io to request reasonable accommodations. Requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through the HCSC Career website online application process. #J-18808-Ljbffr Health Care Service Corp.