Government Programs Care Manager III (TX Counties - Brazos, Limestone, Freestone. Leon, Falls, Robertson, Madison, Milam, Grimes, Burleson, Washington, Bell)

Health Care Service Corporation • Waco, TX

23h • $26 - $58 • 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/transition planning 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, supporting clinical operations with provider and member activities, and transitioning to adult programs. 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 a current and unrestricted license to practice in Texas, with 2 years direct clinical care to the consumer in a clinical setting experience, Licensed Professional Counselor (LPC), Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW) or Licensed Marriage Family Therapist (LMFT) with 2 years of clinical practice experience and a Texas current and unrestricted license.
• 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.
• Experience working with level 3 children with behavioral health issues and experience working with children and young adults with similar conditions or behaviors in three (3) of the last five (5) years.
• 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.

Nice To Haves

• 3 years case management experience.
• Medicaid experience
• Government Program experience (especially Texas STAR Kids and/or STAR Plus) experience.
• Community outreach experience.
• Population Management.
• Guardianship experience
• Experience working with IDD/Autism population
• Texas Workforce commission experience
• Certification in Case Management, Bilingual in English and Spanish
• Population Health Management

Responsibilities

• Provide care coordination/transition planning 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 clinical operations with provider and member activities
• Transition to adult programs
• Complete member telephonic and/or field-based health screenings
• Complete comprehensive health assessments and care planning duties which may require visits to members’ homes and/or facilities to support complex and specialty populations.

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: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees