Government Programs Care Manager I

HCSC • Albuquerque, NM

56d • $20 - $44 • Remote

About The Position

At HCSC, our employees are the cornerstone of our business and the foundation to 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 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 the clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings that do not require clinical judgement and care planning duties which may require visits to members' homes and/or facilities.

Requirements

• Bachelor's degree in nursing, social work, counseling, human-services or social sciences, or LVN, LPN and 1 year of related experience or 3 years of equivalent experience in managed care, a state care coordination or waiver program.
• Knowledge of healthcare terminology
• Experience coordinating member healthcare related needs, providing assistance to members, and analyzing member needs
• PC proficiency including Microsoft Office applications and clinical systems.
• Customer service skills
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues
• Current unrestricted driver's license, transportation and applicable insurance.

Nice To Haves

• Fluency in Native American languages and cultures is preferred

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management
• Inform and educate members on health care programs to address their personal health needs
• Engage the member in discussion of adherence to personal health goals
• Respond to inquiries from members
• Support the clinical operations with provider and member activities
• Complete member telephonic and/or field-based health screenings that do not require clinical judgement
• Care planning duties which may require visits to members' homes and/or facilities

Benefits

• health and wellness benefits
• 401(k) savings plan
• pension plan
• paid time off
• paid parental leave
• disability insurance
• supplemental life insurance
• employee assistance program
• paid holidays
• tuition reimbursement
• other incentives

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Number of Employees: 5,001-10,000 employees