Government Programs Care Manager I (Santa Fe, NM)

HCSC•Santa Fe, NM

54d•$20 - $44•Remote

About The Position

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. Will be seeing members in nursing facilities and in their homes, travel is required.

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.
Must reside withing 250 miles of the office or anywhere within the posted state.