Hybrid Government Programs Care Manager I

at Health Care Service Corporation

• Job title: Government Programs Care Manager I
• Job type: Full Time
• Experience level: Junior
• Salary: $20 - $44 per hour
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Roswell, United States

About the role

• Care Manager coordinating telephonic and field-based member care for Health Care Service Corporation. Educates members, conducts screenings, manages care plans, and performs home/facility visits.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management
• Inform and educate members on health care programs to address personal health needs
• Engage members in discussion of adherence to personal health goals
• Respond to inquiries from members and support clinical operations with provider and member activities
• Complete member telephonic and/or field-based health screenings that do not require clinical judgement
• Perform care planning duties which may require visits to members’ homes and/or facilities
• Develop written correspondence to members and department personnel
• Use Microsoft Office applications and clinical systems to document and manage cases
• Coach and educate members using motivational interviewing and patient education techniques
• Coordinate with providers and other teams to manage member healthcare-related needs

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 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
• Coaching skills, including motivational interviewing
• Current unrestricted driver's license, transportation and applicable insurance
• Direct clinical experience (preferred)
• Experience with Developmental Disability & Fragile Waivers (preferred)
• Patient education experience (preferred)
• Condition Management experience (preferred)
• Bilingual in English and Spanish (preferred)
• Experience in managing complex or catastrophic cases (preferred)
• Certification in Case Management, Training, Project Management or nationally recognized health care certification (preferred)
• Government Programs experience (preferred)
• This position requires onsite visits to members
• Must reside within 250 miles of the office or anywhere within the posted state (Telecommute/Remote)

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
• Annual incentive bonus plan
• Curated development plans and professional development opportunities