Offer summary

Qualifications:

Registered Nurse (RN) or equivalent mental health license with 2 years of clinical experience., Knowledge of health and wellness marketplace and employer trends., Strong verbal and written communication skills for member interaction and collaboration with staff., Proficiency in PC applications including Word, Excel, and PowerPoint, along with analytical skills for medical data analysis..

Key responsabilities:

Contact and educate members about health care programs tailored to their needs.

Engage members in discussions about adherence to their health plans and respond to inquiries.

Meet with members in their homes to provide support and assistance.

Collaborate with clinicians in the Medical Management department on provider and member activities.

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquires from members, Meeting with members in there homes and supporting the clinicians in the Medical Management department with their provider and member activities.

Required Job Qualifications:

Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) with 2 years direct clinical care to the consumer in a clinical setting
Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
Knowledge of the health and wellness marketplace and employer trends.
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
Analytical experience including medical data analysis.
PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
Current unrestricted driver’s license, transportation and applicable insurance.
Ability and willingness to travel within assigned territory.

Preferred Job Qualifications:

Plus 1 year wellness or managed care experience.
3 years clinical experience.
Patient education experience.
Condition Management experience.
Bilingual in English and Spanish.
Experience in managing complex or catastrophic cases.
Certification in Case Management, Training, Project Management or nationally recognized health care certification.

This is a Telecommute (Remote) role: Must reside withing 250 miles of the office or anywhere within the posted state.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.