Government Programs Care Manager III - Work From Home

About the role

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. This position provides care coordination to members via telephonic and/or field‑based care management to inform and educate them on health‑care programs, engage members in discussions about adherence to personal health goals, respond to member inquiries, and support clinical operations with provider and member activities. The role also requires completing member health screenings, comprehensive health assessments, and care‑planning duties, which may involve visits to members’ homes or facilities to support complex and specialty populations.

Responsibilities

• Provide telephonic and/or field‑based care coordination to members.
• Inform and educate members on health‑care programs that address personal health needs.
• Engage members in discussions about adherence to personal health goals.
• Respond to member inquiries promptly and accurately.
• Support clinical operations by coordinating activities with providers and members.
• Conduct member health screenings via phone or in‑person.
• Perform comprehensive health assessments and develop care plans.
• Visit members’ homes or facilities as needed to support complex and specialty populations.

Required Qualifications

• Registered Nurse (RN) with 2 years direct clinical care to consumers in a clinical setting, or an unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), Licensed Clinical Social Worker (LCSW, IL & NM), Licensed Marriage and Family Therapist (LMFT, IL & NM), Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent Social Worker (LISW, NM), or Licensed Mental Health Counselor (LMHC, NM) with 2 years clinical practice experience.
• Current, valid, unrestricted license in the state of operations (or reciprocity). Compact licensees relocating must obtain an active, unrestricted RN license in the state of operations within 90 days of hire.
• At least 3 years wellness or managed‑care experience presenting clinical issues to members and physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills for discussing medical needs with members and interfacing with internal staff, management, external vendors, and community resources.
• Analytical experience, including medical data analysis.
• Proficiency with PC applications: Microsoft Word, Excel, PowerPoint, database systems, and web‑based applications.
• Current unrestricted driver’s license, reliable transportation, and applicable insurance.
• Ability and willingness to travel within the assigned territory.
• Texas‑only requirement: Experience working with Level 3 children with behavioral health issues (experience with children/youth with similar conditions or behaviors in three of the last five years).

Preferred Qualifications

• 3 years direct clinical experience.
• Patient education experience.
• Condition management experience.
• Bilingual in English and Spanish.
• Experience managing complex or catastrophic cases.
• Certification in case management, training, project management, or other nationally recognized health‑care certification.
• Government programs experience.

Compensation

$26.90 – $59.35 per hour (exact compensation may vary based on skills, experience, and location).

Location

Population Management field sites located in the Bryan/College Station, TX area.