Behavioral Health Care Management Specialist - 743

Health Care Service Corporation•National, NV

6d•$35 - $58•Remote

About The Position

This position is responsible for conducting care management and health education programs for customers on government healthcare programs. Accountabilities include gathering, analyzing, and providing data for regulatory reports. This position will represent the company to members.

Requirements

Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or, unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX, NM), 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 state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
3 years wellness or managed care experience presenting clinical issues with members/physicians.
Experience handling medical management programs and health educations programs in an independent manner.
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.
Ability and willingness to travel within assigned territory.

Nice To Haves

3 years clinical experience.
Behavioral Health 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

Responsibilities

Conducting care management and health education programs for customers on government health care programs.
Gathering, analyzing, and providing data for regulatory reports.
Representing the company to members.
Visiting members in the Chicago land area.
Handling medical management programs and health education programs in an independent manner.
Discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
Managing complex or catastrophic cases.