Health Care Service Corporation
Government Programs Care Manager III
Health Care Service Corporation, Austin, Texas, us, 78716
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Government Programs Care Manager III
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Health Care Service Corporation 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 clinical operations with provider and member activities. 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 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. Complete member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning duties; may include visits to members’ homes and/or facilities. Required Job Qualifications Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting, or an unrestricted Licensed Professional Counselor (LPC, TX), or 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), 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). If changing permanent residence to the 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, 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. Employment Details This position requires onsite visits to members. Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. This position requires onsite visits to members in the Bryan/College Station Area. Location and compensation may vary by market. 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 click https://careers.hcsc.com/totalrewards We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Government Programs Care Manager III
role at
Health Care Service Corporation 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 clinical operations with provider and member activities. 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 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. Complete member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning duties; may include visits to members’ homes and/or facilities. Required Job Qualifications Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting, or an unrestricted Licensed Professional Counselor (LPC, TX), or 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), 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). If changing permanent residence to the 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, 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. Employment Details This position requires onsite visits to members. Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. This position requires onsite visits to members in the Bryan/College Station Area. Location and compensation may vary by market. 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 click https://careers.hcsc.com/totalrewards We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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