Health Care Service Corporation

Government Programs Care Manager I

Health Care Service Corporation

full-time

Posted on:

Location Type: Hybrid

Location: Roswell • New Mexico • 🇺🇸 United States

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Salary

💰 $20 - $44 per hour

Job Level

Junior

About the role

  • 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

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
care coordinationhealth screeningscare planningmotivational interviewingpatient educationcondition managementanalyzing member needsmanaging complex caseshealthcare terminologybilingual in English and Spanish
Soft skills
customer serviceverbal communicationwritten communicationcoachingengagementeducationsupportorganizationinterpersonal skillsproblem-solving
Certifications
Bachelor’s degreeLVNLPNCertification in Case ManagementTraining certificationProject Management certificationnationally recognized health care certification
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