Government Programs Care Manager III - 743 - Work From Home

HCSC • Chicago, IL

8d • Remote

About The Position

This position provides care coordination to members through telephonic and/or field-based care management. The role informs and educates members about health care programs, engages them in discussions about adherence to personal health goals, responds to member inquiries, and supports clinical operations with provider and member activities. Duties include conducting member health screenings and comprehensive health assessments and developing care plans. Work may require visits to members’ homes and/or facilities to support complex and specialty populations. The position is field-based in the Northwest and South Chicagoland area and may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii. This is a union role; sponsorship is not available.

Requirements

• Registered Nurse (RN) with 2 years of direct clinical care to consumers in a clinical setting; or Licensed Clinical Professional Counselor (LCPC, Illinois), Licensed Clinical Social Worker (LCSW, Illinois and New Mexico), or Licensed Marriage and Family Therapist (LMFT, Illinois and New Mexico) with 2 years of clinical practice experience.
• Current, valid, unrestricted license in the state of operations, or reciprocity. Compact licensees changing permanent residence to the state of operations must obtain active, unrestricted RN licensure in that state within 90 days of hire.
• 3 years of wellness or managed care experience presenting clinical issues with members and 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 and management, external vendors, and community resources.
• Analytical experience, including medical data analysis.
• PC proficiency, including Word, Excel, PowerPoint, databases, and web-based applications.
• Current unrestricted driver’s license, transportation, and applicable insurance.
• Ability and willingness to travel within the assigned territory.

Nice To Haves

• 3 years of direct clinical experience.
• Patient education experience.
• Condition Management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in Case Management, Training, Project Management, or a nationally recognized health care certification.
• Government Programs experience.
• Population Management experience.

Responsibilities

• Provide telephonic and/or field-based care coordination to members.
• Inform and educate members about health care programs addressing their personal health needs.
• Engage members in discussion of adherence to personal health goals and respond to member inquiries.
• Support clinical operations with provider and member activities.
• Complete member telephonic and/or field-based health screenings and comprehensive health assessments.
• Perform care planning duties, including visits to members’ homes and/or facilities when needed to support complex and specialty populations.
• Travel within the assigned territory.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed