Health Care Service Corporation
Government Program Care Manager III - 743
Health Care Service Corporation, Chicago, Illinois, United States, 60290
Government Program Care Manager III - 743
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Government Program Care Manager III - 743
role at
Health Care Service Corporation . At HCSC, employees are the cornerstone of our business and the foundation to our success. We empower them with curated development plans that foster growth and promote rewarding, fulfilling careers.
Overview Provide care coordination to members via telephonic and/or field-based care management. Inform and educate them on health care programs to address personal health needs, engage members in discussions of adherence to personal health goals, respond to inquiries, 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, which may require visits to members’ homes and/or facilities to support complex and specialty populations.
Required Qualifications
Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting, or unrestricted Licensed Professional Counselor (LPC, TX), 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). For compact licensee 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 of 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.
Preferred Qualifications
3 years direct clinical experience.
Patient education experience.
Condition Management experience.
Bilingual in English and Spanish.
Experience in managing complex or catastrophic cases.
Certification in Case Management, Training, Project Management or nationally recognized health care certification.
Government Programs experience.
Population Management.
Union Role This is a Union role. This is a Union Telecommute (Remote) role. Must reside within a 60-mile radius of the Chicago office.
Compensation $34.90 - $57.89 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.
Employment Details Seniority level: Mid-Senior level Employment type: Full-time Job function: Legal Industry: Hospitals and Health Care
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Government Program Care Manager III - 743
role at
Health Care Service Corporation . At HCSC, employees are the cornerstone of our business and the foundation to our success. We empower them with curated development plans that foster growth and promote rewarding, fulfilling careers.
Overview Provide care coordination to members via telephonic and/or field-based care management. Inform and educate them on health care programs to address personal health needs, engage members in discussions of adherence to personal health goals, respond to inquiries, 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, which may require visits to members’ homes and/or facilities to support complex and specialty populations.
Required Qualifications
Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting, or unrestricted Licensed Professional Counselor (LPC, TX), 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). For compact licensee 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 of 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.
Preferred Qualifications
3 years direct clinical experience.
Patient education experience.
Condition Management experience.
Bilingual in English and Spanish.
Experience in managing complex or catastrophic cases.
Certification in Case Management, Training, Project Management or nationally recognized health care certification.
Government Programs experience.
Population Management.
Union Role This is a Union role. This is a Union Telecommute (Remote) role. Must reside within a 60-mile radius of the Chicago office.
Compensation $34.90 - $57.89 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.
Employment Details Seniority level: Mid-Senior level Employment type: Full-time Job function: Legal Industry: Hospitals and Health Care
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