Government Programs Care Manager II

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Deliver care coordination to members through telephonic and/or field-based care management.

• Educate and inform members about healthcare programs tailored to their individual health needs.

• Engage members in conversations about achieving their personal health goals.

• Address member inquiries effectively.

• Assist clinical operations and facilitate activities for both providers and members.

• Conduct telephonic and/or field-based health screenings for members.

• Perform thorough health assessments and develop care plans.

• Visit members in their homes and/or facilities as necessary.

• Discuss medical requirements with members and collaborate with internal staff, management, external vendors, and community resources.

• Travel within the designated territory.

⛳️ Requirements

• Must possess a Registered Nurse (RN) license or an applicable, unrestricted behavioral health license: LPC (TX), LMSW (TX), LCPC (IL), LCSW (IL & NM), LMFT (IL & NM), LPCC (NM), LISW (NM), LSW (IL), or LMHC (NM).

• Hold a current, valid, and unrestricted license in the state of operations or have reciprocity.

• Compact RN licensees changing their permanent residence must acquire active, unrestricted RN licensure in the state of operations within 90 days of hire.

• A minimum of 3 years of experience in wellness or managed care, addressing clinical issues with members and physicians.

• Familiarity with the health and wellness marketplace and trends among employers.

• Strong verbal and written communication skills for discussing medical requirements and interacting with internal staff, management, external vendors, and community resources.

• Experience in analytical tasks, including medical data analysis.

• Proficiency in PC applications such as Word, Excel, PowerPoint, databases, and web-based platforms.

• Possess a current unrestricted driver’s license, reliable transportation, and appropriate insurance.

• Willingness and ability to travel within the assigned territory.

• For Illinois high-needs children requirement: Bachelor’s degree in nursing, social sciences, social work, or a related field.

• For Illinois high-needs children requirement: At least 1 year of supervised clinical experience in a human-services domain.

• Sponsorship is not available for this position.

🏝️ Benefits

• Opportunities for professional development along with curated development plans.

• Comprehensive health and wellness benefits.

• 401(k) savings plan.

• Pension plan.

• Paid time off for personal use.

• Paid parental leave.

• Disability insurance coverage.

• Supplemental life insurance options.

• Employee assistance program.

• Paid holidays throughout the year.

• Tuition reimbursement for further education.

• Annual incentive bonus plan.

• Additional incentives available.