Full-Time

Wellbeing Health Advisor

Posted on 1/7/2025

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$60.3k - $133.4kAnnually

+ Annual Incentive Bonus

Mid, Senior

Remote in USA

Must reside within 250 miles of the office or anywhere within Oklahoma.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets

You match the following HCSC's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Registered Nurse (RN) with current, valid, unrestricted license in state of operations
  • 2 years of clinical practice experience of direct clinical care to the consumer
  • 1 year of experience in care management/condition management
  • PC proficiency to include Word, Excel, Outlook and database experience
  • Clear and concise verbal and written communication skills
  • Familiarity of ancillary services including HHC, SNF, Hospice, etc
  • Analytical skills
  • Decision making skills and sound clinical judgment to provide oversight of other staff
Responsibilities
  • Assist the member with the goal of increased health and overall wellbeing by developing a one-to-one relationship with the member
  • Encourage members to utilize appropriate resources and web-based tools available to them to access information regarding their condition as well as track progress towards wellbeing goals
  • Guide the member through transitions in care
  • Handle a member's complex needs as well as acute and chronic conditions
  • Receive referrals focusing on member wellbeing, including diagnosis based, overall medical cost, identified treatment gaps, frequent emergency room utilization, pre-admission/post-discharge follow-up
Desired Qualifications
  • 3 years of clinical practice experience of direct clinical care to the consumer
  • Experience in managing complex or catastrophic health cases
  • Specialty clinical experience in intensive care medicine, orthopedic, NICU/pediatric, oncology, diabetic member management, obstetric (low to high risk maternity management)
  • Working toward or completion of CCM/CCP/CDE/MCG certification or Advanced degree
  • Knowledge of Milliman Guidelines or similar clinical guidelines
  • Knowledge of medical management policies and procedures

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 generates revenue primarily through premiums paid by its members and focuses on delivering quality care. The company also invests in health and wellness programs aimed at reducing healthcare costs and improving the health outcomes of its members. With nearly 100 years of experience in the industry, HCSC distinguishes itself from competitors by its commitment to compassion and a focus on innovative solutions that empower people to lead healthier lives.

Company Stage

N/A

Total Funding

$511.7M

Headquarters

Chicago, Illinois

Founded

1936

Simplify Jobs

Simplify's Take

What believers are saying

  • HCSC's acquisition of Cigna's Medicare businesses expands its reach in the growing Medicare market.
  • The new Houston office will create job opportunities and drive local economic growth.
  • HCSC's investment in Solera Health supports digital health access and cost reduction initiatives.

What critics are saying

  • Increased competition from digital health platforms like Solera Health may lead to market cannibalization.
  • The acquisition of Cigna's Medicare businesses may expose HCSC to regulatory scrutiny and integration challenges.
  • Opening a new office in Houston may strain resources and divert focus from other initiatives.

What makes HCSC unique

  • HCSC's nearly century-long experience establishes it as a trusted health insurance provider.
  • The company invests in health and wellness programs to improve member outcomes.
  • HCSC's community-first engagement model values local relationships and enhances member satisfaction.

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Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Paid Holidays

Paid Parental Leave

Disability Insurance

Supplemental Life Insurance

Employee Assistance Program

Tuition Reimbursement

Professional Development Budget

INACTIVE