Government Programs Care Manager II

🔥 14 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $28 - $47 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Provide care coordination to members via telephonic and/or field-based care management • Inform and educate members on health care programs addressing their personal health needs • Engage members in discussions about adherence to personal health goals • Respond to member inquiries • Support clinical operations and provider and member activities • Complete member telephonic and/or field-based health screenings • Complete comprehensive health assessments and care planning • Visit members’ homes and/or facilities when required • Present clinical issues to members and physicians • Interface with internal staff, management, external vendors, and community resources • Travel within the assigned territory

🎯 Requirements

• Registered Nurse (RN), Licensed Clinical Professional Counselor (LCPC, IL), Licensed Clinical Social Worker (LCSW, IL & NM), or Licensed Marriage and Family Therapist (LMFT, IL & NM) • Current, valid, unrestricted license in the state of operations or reciprocity • Compact licensees changing permanent residence must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire • 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 for discussing medical needs and interfacing with internal staff, 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 assigned territory • Illinois high-needs children: Bachelor’s degree in nursing, social sciences, social work, or related field • Illinois high-needs children: 1 year of supervised clinical experience in a human-services field • Direct clinical experience • Patient education experience • Condition Management experience • Experience managing complex or catastrophic cases • Government Programs experience • Sponsorship is not available

🏖️ Benefits

• Curated professional development plans • Professional development investment • Union role • Employee referral process • Equal opportunity employment • Drug-free and smoke-free workplace

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