Government Programs Care Manager III (TX Counties - Brazos, Limestone, Free at Health Care Service Corporation

Waco, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Feb, 26

Salary

58.19

Posted On

17 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Registered Nurse, Licensed Professional Counselor, Licensed Master Social Worker, Licensed Clinical Social Worker, Licensed Marriage Family Therapist, Wellness Experience, Managed Care Experience, Behavioral Health Issues, Analytical Skills, Communication Skills, PC Proficiency, Community Outreach, Population Management, Guardianship Experience, IDD/Autism Experience, Case Management Certification

Industry

Hospitals and Health Care

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 to provide care coordination/transition planning to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, supporting clinical operations with provider and member activities, and transitioning to adult programs. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties which may require visits to members’ homes and/or facilities to support complex and specialty populations. JOB REQUIRMENTS: Registered Nurse (RN) with a current and unrestricted license to practice in Texas, with 2 years direct clinical care to the consumer in a clinical setting experience, Licensed Professional Counselor (LPC), Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW) or Licensed Marriage Family Therapist (LMFT) with 2 years of clinical practice experience and a Texas current and unrestricted license. 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 3 years’ wellness or managed care experience presenting clinical issues with members/physicians. Experience working with level 3 children with behavioral health issues and experience working with children and young adults with similar conditions or behaviors in three (3) of the last five (5) years. 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 REQUIREMENTS: 3 years case management experience. Medicaid experience Government Program experience (especially Texas STAR Kids and/or STAR Plus) experience. Community outreach experience. Population Management. Guardianship experience Experience working with IDD/Autism population Texas Workforce commission experience Certification in Case Management, Bilingual in English and Spanish Population Health Management This is a Telecommuter position for the Brazos, Limestone, Freestone. Leon, Falls, Robertson, Madison, Milam, Grimes, Burleson, Washington, Bell TX counties. Employee will need to be based out of one of these TX counties to qualify. This is a field (meeting members in person in their homes) position. 2 hr+- driving each way within an assigned mile radius is required as needed. Mileage paid according to the IRS Mileage Guidelines. Meeting in the Waco office quarterly as needed. Work Hours: Monday through Friday 8 AM to 5 PM MST. #LI-FW1 #LI-Remote This is a Telecommute (Remote) role for these TX Counties: Brazos, Limestone, Freestone. Leon, Falls, Robertson, Madison, Milam, Grimes, Burleson, Washington, Bell). Employee will need to be based out of one of these TX counties to qualify. Sponsorship is not available Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! 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. Base Pay Range $26.37 - $58.19 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Responsibilities

This position is responsible for providing care coordination and transition planning to members through telephonic and field-based care management. Duties include conducting health screenings, comprehensive health assessments, and care planning, which may involve home visits to support complex populations.