Government Programs Care Manager III – Health Care Service Corporation
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.
This position is responsible for providing care coordination to members via telephonic and/or field‑based care management to inform and educate them on health care programs, address personal health needs, engage members in discussions of adherence to personal health goals, respond to inquiries, and support clinical operations with provider and member activities. Duties include completing member telephonic and/or field‑based health screenings, comprehensive health assessments, and care planning duties, which may require visits to members’ homes 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); or Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM); or Licensed Marriage and Family Therapist (LMFT, IL & NM); or Licensed Professional Clinical Counselor (LPCC, NM); or 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, obtain active, unrestricted RN licensure 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, PowerPoint, database experience and web‑based applications.
Current unrestricted driver’s license 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 in managing complex or catastrophic cases.
Certification in Case Management, Training, Project Management or nationally recognized health care certification.
Government Programs experience.
Population Management.
Compensation: $26.37 - $58.19. Exact compensation may vary based on skills, experience, and location.
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.
To learn more about available benefits, please check careers.hcsc.com/totalrewards.