Posted 2 days ago
Behavioral Health Care Management Specialist - 743
AI Summary
Conducts care management and health education for government health care program members, analyzes data for regulatory reports, and represents the company to members.
About this role
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.
This is a Union Role
Job Summary
This Position Is Responsible For Conducting Care Management And Health Education Programs For Customers On Government Health Care Programs Accountabilities Include Gathering, Analyzing And Providing Date For Regulatory Reports This Position Will Represent The Company To Members.JOB REQUIREMENTS:
- Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX, NM), Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist (LMFT, IL & NM), Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent Social Worker (LISW, NM), or Licensed Mental Health Counselor {LMHC, NM) with 2 years of clinical practice experience. 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.
- Plus 3years wellness or managed care experience presenting clinical issues with members/physicians.
- Experience handling medical management programs and health educations programs in an independent manner.
- 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.
- Ability and willingness to travel within assigned territory.
PREFERRED JOB REQUIREMENTS:
- 3 years clinical experience.
- Behavioral Health 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.
- Government Programs experience
- Population Management
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.
Base Pay Range
$34.90 - $57.89Exact compensation may vary based on skills and experience.
Skills
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