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Health Care Service Corporation

Government Programs Care Manager ll - Gallup, NM

Health Care Service Corporation, Gallup, New Mexico, us, 87302

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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, address their personal health needs, engage members in discussions about adherence to personal health goals, respond to inquiries, and support clinical operations, provider, and member activities. The role involves completing member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, 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 operation (or reciprocity). If changing permanent residence to the state of operation, obtain active, unrestricted RN licensure within 90 days of hire. At least 3 years of wellness or managed care experience addressing clinical issues with members/physicians. Knowledge of the health and wellness marketplace and employer trends. Strong verbal and written communication skills for discussing medical needs with members and interfacing with staff, management, 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. Certifications in Case Management, Training, Project Management, or other recognized healthcare fields. Experience with government programs. Familiarity with Navajo language. #LI-Remote #LI-BT2 #INBT Referral Process:

If referred by a connection at HCSC, inquire about our Employee Referral process. Pay Transparency

We offer a comprehensive benefits package, 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. Details at

https://careers.hcsc.com/totalrewards . Compensation varies based on skills, experience, and location, with an annual incentive bonus plan based on performance. Equal Opportunity Employment

HCSC is committed to a diverse and inclusive workplace. 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. Pay Range

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

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