Government Programs Care Manager III

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 health care programs that cater to their personal health requirements.

• Engage in conversations with members regarding adherence to their personal health objectives.

• Address and respond to member inquiries effectively.

• Assist clinical operations with activities related to both providers and members.

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

• Perform comprehensive health assessments and develop care plans.

• Visit members in their homes or facilities as required to support complex and specialty populations.

• Carry out field-based care in the areas of Rockford, Springfield, and Southern Illinois.

⛳️ Requirements

• Registered Nurse (RN) with 2 years of direct clinical care experience in a clinical environment, or LCPC (IL), LCSW (IL & NM), or LMFT (IL & NM) with 2 years of clinical practice experience.

• Possession of a current, valid, unrestricted license in the state of operations (or through reciprocity).

• Compact licensees relocating permanently must secure active, unrestricted RN licensure in the state of operations within 90 days of employment.

• 3 years of experience in wellness or managed care, specifically dealing with clinical issues alongside members/physicians.

• Familiarity with the health and wellness marketplace as well as current employer trends.

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

• Analytical experience, including proficiency in medical data analysis.

• Proficiency in PC applications, including Word, Excel, and PowerPoint, along with database experience and web-based applications.

• A current, unrestricted driver’s license, reliable transportation, and the necessary insurance coverage.

• Willingness and ability to travel within the assigned territory.

• Sponsorship is not available.

🏝️ Benefits

• Tailored development plans and opportunities for professional growth.

• Comprehensive 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.

• Additional incentives.

• Annual incentive bonus plan.