Government Programs Care Manager III

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

📋 Description

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

• Educate and inform members about health care programs tailored to their personal health requirements.

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

• Address inquiries from members promptly.

• Assist clinical operations through engagement with both providers and members.

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

• Develop care plans for complex and specialty populations.

• Visit members’ residences and/or facilities as necessary.

• Collaborate with members in the Northwest and South Chicagoland regions.

• Travel within the designated territory.

⛳️ Requirements

• Registered Nurse (RN) with a minimum of 2 years of direct clinical care experience in a clinical environment; or Licensed Clinical Professional Counselor (LCPC, IL); or Licensed Clinical Social Worker (LCSW, IL & NM); or Licensed Marriage and Family Therapist (LMFT, IL & NM), possessing 2 years of clinical practice experience.

• Current, valid, unrestricted license in the state of operation (or reciprocity).

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

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

• Understanding of the health and wellness marketplace as well as employer trends.

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

• Experience in medical data analysis.

• Proficient in PC applications including Word, Excel, PowerPoint, database management, and web-based applications.

• Valid unrestricted driver’s license, reliable transportation, and appropriate insurance.

• Willingness and ability to travel within the assigned territory.

• Sponsorship is not available.

🏝️ Benefits

• Tailored development plans promoting professional growth.

• Union position.

• Option for remote work within eligible U.S. locations.

• Commitment to equal opportunity in the workplace.

• Drug-free and smoke-free work environment.