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Health Care Service Corporation · 2 days ago

Government Programs Care Manager I (Santa Fe, NM)

Santa Fe, NM

Full-time

Hybrid

Entry Level

$20.04/hr - $44.61/hr

1+ years exp

Health Care Service Corporation (HCSC) is a purpose-driven company focused on employee development and success. The Government Programs Care Manager I is responsible for providing care coordination to members through telephonic and field-based management, assisting them in understanding healthcare programs and achieving their health goals.

Health InsuranceInsurance

Growth Opportunities

Responsibilities

Provide care coordination to members via telephonic and/or field-based care management

Inform and educate them on health care programs to address their personal health needs

Engaging the member in discussion of adherence to personal health goals

Responding to inquiries from members

Supporting the clinical operations with provider and member activities

Complete member telephonic and/or field-based health screenings that do not require clinical judgement

Care planning duties which may require visits to members’ homes and/or facilities

Seeing members in nursing facilities and in their homes

Travel is required

Qualification

Bachelor’s degree in nursingHealthcare terminologyExperience coordinating healthcare needsPC proficiencyCustomer service skillsVerbalCoaching skillsWritten communication

Required

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, providing assistance to members, 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 to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues

Current unrestricted driver's license, transportation and applicable insurance