Health Care Service Corporation
Government Programs Care Manager ll - Gallup, NM
Health Care Service Corporation, Grants, New Mexico, United States, 87020
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 includes conducting member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may involve 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 relocating to the state of operation, obtain active, unrestricted RN licensure within 90 days of hire. Minimum of 3 years' experience in wellness or managed care, presenting clinical issues with members/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. Valid driver's license, transportation, and applicable insurance. Willingness and ability to travel within the assigned territory. Preferred Job Qualifications:
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 recognized healthcare certifications. Experience with government programs. Familiarity with Navajo language. #LI-Remote #LI-BT2 #INBT Referral Process:
If you're being referred to this role, ask your contact at HCSC about our Employee Referral process. Pay Transparency
At HCSC, we offer meaningful benefits including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance programs, paid holidays, tuition reimbursement, and more. Learn more at
https://careers.hcsc.com/totalrewards . The offered compensation varies based on skills, education, experience, and location, and may include an annual incentive bonus plan. Employment Statement
HCSC is an Equal Opportunity Employer 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. Base Pay Range
$21.62 - $48.14 per hour. Exact salary depends on skills, experience, and location.
#J-18808-Ljbffr
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 includes conducting member telephonic and/or field-based health screenings, comprehensive health assessments, and care planning, which may involve 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 relocating to the state of operation, obtain active, unrestricted RN licensure within 90 days of hire. Minimum of 3 years' experience in wellness or managed care, presenting clinical issues with members/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. Valid driver's license, transportation, and applicable insurance. Willingness and ability to travel within the assigned territory. Preferred Job Qualifications:
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 recognized healthcare certifications. Experience with government programs. Familiarity with Navajo language. #LI-Remote #LI-BT2 #INBT Referral Process:
If you're being referred to this role, ask your contact at HCSC about our Employee Referral process. Pay Transparency
At HCSC, we offer meaningful benefits including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance programs, paid holidays, tuition reimbursement, and more. Learn more at
https://careers.hcsc.com/totalrewards . The offered compensation varies based on skills, education, experience, and location, and may include an annual incentive bonus plan. Employment Statement
HCSC is an Equal Opportunity Employer 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. Base Pay Range
$21.62 - $48.14 per hour. Exact salary depends on skills, experience, and location.
#J-18808-Ljbffr