Overview 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 to provide care coordination/transition planning 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, supporting clinical operations with provider and member activities, and transitioning to adult programs. 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.
Responsibilities Provide care coordination/transition planning to members via telephonic and/or field-based care management.
Inform and educate members on health care programs to address personal health needs.
Engage members in discussions of adherence to personal health goals.
Respond to inquiries from members and support clinical operations with provider and member activities.
Transition to adult programs as applicable.
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.
Qualifications Registered Nurse (RN) with a current and unrestricted license to practice in Texas, with 2 years direct clinical care experience; Licensed Professional Counselor (LPC), Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW) or Licensed Marriage Family Therapist (LMFT) with 2 years of clinical practice and a Texas license, or equivalent combined qualifications as applicable.
Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensees changing permanent residence to the 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.
Experience working with level 3 children with behavioral health issues and with children and young adults with similar conditions or behaviors in three of the last five years.
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.
Preferred Qualifications 3 years case management experience.
Medicaid experience
Government Program experience (especially Texas STAR Kids and/or STAR Plus).
Community outreach experience.
Population Management.
Guardianship experience.
Experience working with IDD/Autism population.
Texas Workforce Commission experience.
Certification in Case Management.
Bilingual in English and Spanish.
Population Health Management.
Telecommuter position for the Brazos, Limestone, Freestone, Leon, Falls, Robertson, Madison, Milam, Grimes, Burleson, Washington, Bell counties (TX).
Based out of one of these TX counties to qualify.
Field position (meeting members in person in their homes).
2+ hours driving each way within an assigned mile radius as needed.
Mileage paid according to IRS guidelines.
Meet in the Waco office quarterly as needed.
Work Hours: Monday through Friday 8 AM to 5 PM MST.
Additional Details This is a telecommute (remote) role for these TX Counties: Brazos, Limestone, Freestone, Leon, Falls, Robertson, Madison, Milam, Grimes, Burleson, Washington, Bell.
Employee will need to be based out of one of these TX counties to qualify.
Sponsorship is not available.
Compensation: $26.37 - $58.19 per hour; 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 visit https://careers.hcsc.com/totalrewards