Government Programs Care Manager ll - Gallup, NM

At HCSC, our employees are the cornerstone of our business and the foundation of 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 for providing 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, provider, and member activities. This role involves completing 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. Required Job Qualifications:

Registered Nurse (RN), unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), 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). Current, valid, unrestricted license in the state of operations (or reciprocity). For licensees changing permanent residence to the state of operations, active, unrestricted RN licensure in the new state must be obtained within 90 days of hire. At least 3 years of wellness or managed care experience presenting clinical issues with members and physicians. Knowledge of the health and wellness marketplace and employer trends. Strong verbal and written communication skills, including discussing medical needs with members and interfacing with internal staff, management, external vendors, and community resources. Analytical experience, including medical data analysis. Proficiency in Word, Excel, PowerPoint, database experience, and web-based applications. Current, unrestricted driver's license, transportation, and applicable insurance. Willingness and ability to travel within the assigned territory. Preferred Job Qualifications:

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 other nationally recognized healthcare certifications. Experience with government programs. Familiarity with Navajo language. #LI-Remote #LI-BT2 #INBT Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement:

At Health Care Service Corporation, we offer meaningful benefits supporting your life outside of work, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Learn more at

https://careers.hcsc.com/totalrewards . Compensation varies based on skills, education, and experience. This role may include an annual incentive bonus plan, subject to plan terms and conditions. HCSC Employment Statement:

We are an Equal Opportunity Employer committed to a respectful, inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range

$21.62 - $48.14. Exact pay depends on skills, experience, and location.

#J-18808-Ljbffr