Government Programs Care Manager I

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

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 the clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings that do not require clinical judgement and care planning duties which may require visits to members’ homes and/or facilities.

Job Requirements:

• Bachelor’s degree in nursing, social work, counseling, human-services or social sciences, or LVN, LPN and 1 year of related experience or 3 years of equivalent experience in managed care, a state care coordination or waiver program.
• Knowledge of healthcare terminology
• Experience coordinating member healthcare related needs, providing assistance to members, and analyzing member needs
• PC proficiency including Microsoft Office applications and clinical systems.
• Customer service skills
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues
• Current unrestricted driver's license, transportation and applicable insurance.

Preferred Job Qualifications:

• Direct Clinical Experience.

• Patient Education Experience.

• Condition Management Experience.

• Government Programs Experience

• Experience with Developmental Disability & Fragile Waivers
• Bilingual in English and Spanish.
• Experience in managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management or nationally recognized health care certification.
• This position requires onsite visits to members

This is a Telecommute (Remote) role:  Must reside within 250 miles of the office or anywhere within the posted state.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Hcsc Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the 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.

Base Pay Range

$19.65 - $43.74

Exact compensation may vary based on skills, experience, and location.