Health Care Service Corporation

Behavioral Health Care Manager III - Government Programs

Health Care Service Corporation

full-time

Posted on:

Origin:  • 🇺🇸 United States

Visit company website
✨ AI Apply
Manual Apply

Salary

💰 $26 - $58 per year

Job Level

JuniorMid-Level

About the role

  • Provide care coordination 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, engage the member in adherence to personal health goals, respond to inquiries from members, and support the clinical operations department with their provider and member activities
  • This position will be required to complete member telephone and/or field based health screenings, comprehensive health assessments and care planning duties which may require visits to members’ home and/or facilities to support complex and specialty populations

Requirements

  • RN with 2 years direct clinical care to the consumer in a clinical setting
  • or unrestricted Licensed Professional Counselor (LPC)
  • or Licensed Master Social Worker (LMSW)
  • or Licensed Clinical Social Worker (LCSW)
  • Licensed Professional Clinical Counselor (LPCC)
  • Licensed Independent Social Worker (LISW)
  • Licensed Mental Health Counselor (LMHC) with 2 years clinical practice at the independent practice level
  • 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 handling medical management programs and health educations programs in an independent manner
  • 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
  • Ability and willingness to travel within assigned territory
  • Telecommuter position; location Grants, NM; based out of Grants and Gallup areas; field (in-person visits)
  • 50% driving within 2 hr radius is required