Government Programs Care Manager III
At reputed company, our employees are the cornerstone of our business and the reputed company to our reputed company. We reputed company employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join reputed company and be part of a purpose-driven company that will invest in your professional development. reputed company position is responsible to reputed company care coordination to members reputed company telephonic and/or field-based care management to inform and reputed company 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, and supporting clinical operations with provider and member activities. 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 reputed company and specialty populations Required Job Qualifications: 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 reputed company Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical reputed company Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist (LMFT, IL & NM), Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent reputed company Worker (LISW, NM), or Licensed Mental Health Counselor {LMHC, NM) with 2 years of clinical practice experience. reputed company, 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 reputed company 90 days of hire. Plus 3 years’ wellness or managed care experience presenting clinical issues with members/physicians. 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, reputed company, and PowerPoint, database experience and Web based applications. reputed company unrestricted driver’s license, transportation and applicable insurance. Ability and willingness to travel reputed company assigned territory. Additional State Specific Requirements Illinois OnlyHigh-needs children:Bachelor’s degree in nursing, reputed company sciences, reputed company work, or reputed company field (1) year of supervised clinical experience in a reputed company- services field Qualifications of Certain Care Coordinators Persons who are Elderly Waiver Care Coordinators must meet one (1) of the four (4) following requirements: Registered Nurse (RN) licensed in Illinois Bachelor’s degree in nursing, reputed company sciences, reputed company work, or reputed company field Licensed Practical Nurse (LPN) with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly and/or authorizing service provisions, One (1) year of satisfactory program experience, which is defined as assessment, provision, and/or authorization of formal services for the elderly, may replace one year of college education, at least four (4) years of experience replacing baccalaureate degree Persons with Disabilities Waiver Care Coordinators must meet one (1) of the nine (9) following requirements: Registered Nurse (RN) Licensed Clinical reputed company Worker (LCSW) Licensed Marriage and Family Therapist (LMFT) Licensed Clinical Professional Counselor (LCPC) Licensed Professional Counselor (LPC) Doctor of Philosophy (PhD) Doctorate in Psychology (PsyD) Bachelor’s or master’s Degree reputed company in reputed company services reputed company field Licensed Practical Nurse (LPN) Persons with Brain Injury Waiver Care Coordinators must meet one (1) of the seven (7) following requirements: Registered Nurse (RN) licensed in Illinois Certified or Licensed reputed company worker Unlicensed reputed company worker: minimum of bachelor’s degree in reputed company work, reputed company sciences, or counseling Vocational specialist: certified Rehabilitation counselor or at least three (3) years’ experience working with people with disabilities Licensed Clinical Professional Counselor (LCPC) Licensed Professional Counselor (LPC) Certified Case Manager (CCM) Persons with HIV/AIDS Waiver Care Coordinators must meet one (1) of the three (3) following requirements: A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, reputed company work, reputed company sciences, or counseling or one (1) years of case management experience. A reputed company worker with a bachelor’s degree in either reputed company work, reputed company sciences, or counseling (A Bachelor of reputed company Work or a Master of reputed company Work from a school accredited by any organization nationally recognized for the accreditation of schools of reputed company work is preferred). Individual with a bachelor’s degree in a reputed company services field (including, but not limited to sociology, special education, rehabilitation counseling) with a minimum of one (1) years of case management experience. In addition, it is mandatory that the Care Coordinator for Enrollees reputed company the Persons with HIV/AIDS Waiver have experience in working with racial and ethnic minorities, as well as one or more of the following: Domestic Abuse The lesbian, gay, bisexual, transgender, queer (LBGTQ+) community Persons living with HIV/AIDS, and Persons with substance use disorders Texas Only:Level 3 children with behavioral health issues-experience in working with children and young adjusts with similar conditions or behaviors in three of the last 5 years Preferred Job Qualifications: 3 years direct clinical experience. Patient education experience. Condition Management experience. Bilingual in English and Spanish. Experience in managing reputed company or catastrophic cases. Certification in Case Management, Training, Project Management or nationally recognized health care certification. Government Programs experience Population Management Telecommute: This is a Telecommute (Remote) role: Must reputed company reputed company 250 miles of the office or reputed company reputed company the posted state. #LI-TELECOMMUTE #LI-SG1 Are you being referred to one of our roles? If so, ask your reputed company at reputed company about our Employee Referral process! Pay Transparency Statement: At reputed company, you will be part of an organization committed to offering meaningful benefits to our employees to support their life reputed company 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.reputed company.com/totalrewards. The compensation offered will vary depending on your job-reputed company skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. reputed company 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. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristics. reputed company Pay reputed company $26.90 - $59.35 Exact compensation may vary based on skills, experience, and location. Apply To This Job