Government Programs Care Manager III

This is a fully remote position, open to applicants in Illinois, +4 more states.

📋 Description

• Coordinate care for members through telephonic and/or field-based management.

• Educate and inform members about health care programs.

• Facilitate discussions with members regarding their adherence to personal health goals.

• Address inquiries and concerns from members.

• Assist clinical operations with activities involving providers and members.

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

• Perform comprehensive health assessments and care planning that may require home or facility visits.

⛳️ Requirements

• Must be a Registered Nurse (RN) with at least 2 years of direct clinical experience in a clinical setting, or an unrestricted Licensed Professional Counselor (LPC, TX), or other professionals with 2 years of clinical practice experience.

• Hold a current, valid, and unrestricted license in the state of operation (or possess reciprocity).

• Additionally, have 3 years of experience in wellness or managed care, specifically in presenting clinical issues to members and physicians.

• Possess knowledge of the health and wellness marketplace and current employer trends.

• Demonstrate strong verbal and written communication skills.

• Have analytical experience, including the analysis of medical data.

• Show proficiency in PC applications such as Word, Excel, PowerPoint, as well as experience with databases and web-based applications.

• Maintain a current unrestricted driver’s license, along with transportation and applicable insurance.

• Be willing and able to travel within the designated territory.

🏝️ Benefits

• Health insurance.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.