Government Programs Care Manager III - 743
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 clinical operations with provider and member activities. This position will be required to 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.
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), 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.
- Plus 3 years’ 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.
- Must reside within a 60-mile radius of the Chicago office.
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 members in discussion of adherence to personal health goals.
- Respond to inquiries from members.
- Support clinical operations with provider and member activities.
- Complete member telephonic and/or field-based health screenings.
- Conduct comprehensive health assessments and care planning duties.
- May require visits to members’ homes and/or facilities to support complex and specialty populations.
Benefits
- Curated development plans that foster growth and promote rewarding, fulfilling careers.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
