Full-Time

Care Coordinator UM/CM I

Posted on 10/7/2024

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$58.8k - $130.1kAnnually

Junior, Mid

Richardson, TX, USA

Remote work opportunity available in New Mexico and Texas.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Communications
Requirements
  • Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations.
  • 3 years clinical practice experience.
  • Experience utilizing various software packages.
  • Verbal and written communication skills.
  • Analytical skills.
  • Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
Responsibilities
  • performing concurrent review in accordance with approved departmental guidelines
  • performing discharge planning and identifying alternate treatment programs
  • conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate
  • assessing, planning, and implementing options and services required to meet an individuals health needs within the scope of their benefit plan.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC's plans work by collecting premiums from members, which then fund the healthcare services covered under these plans. What sets HCSC apart from other health insurance providers is its strong focus on health and wellness programs aimed at reducing overall healthcare costs and improving the health outcomes of its members. The goal of HCSC is to be a reliable partner in health, promoting quality care and supporting individuals in leading healthier lives.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

1936

Simplify Jobs

Simplify's Take

What believers are saying

  • HCSC's acquisition of Cigna's Medicare businesses expands its capabilities in the growing Medicare market.
  • The new Houston office expansion will create job opportunities and drive local economic growth.
  • Rising telehealth adoption allows HCSC to expand its virtual care offerings.

What critics are saying

  • Integration challenges with Cigna's Medicare businesses could affect service delivery and financial performance.
  • Economic downturns in Texas may impact the success of HCSC's Houston office expansion.
  • Increased competition in the Medicare market could impact HCSC's market share.

What makes HCSC unique

  • HCSC's nearly century-long experience establishes it as a trusted health insurance provider.
  • The company offers comprehensive health plans tailored to diverse client needs across five states.
  • HCSC invests in health and wellness programs to reduce costs and improve member outcomes.

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