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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 data for regulatory reports. Perform assessments, care planning, and other care reviews in the member/family home and telephonically. This position will represent the company to members, providers, and state regulators

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 & TX)  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.
• 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.
   

PREFERRED JOB REQUIREMENTS:

• Plus 1 years wellness or managed care experience presenting clinical issues with members/physicians.
• 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.            

*CA

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HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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.

Base Pay Range

$25.72 - $56.77