Government Programs Care Manager III

Role Overview

• Provide care coordination to members via telephonic and/or field-based care management
• Inform and educate members on health care programs
• Address personal health needs and engage members in discussion of health goals
• Support clinical operations with provider and member activities
• Complete health screenings, health assessments, and care planning duties that may require visits to members’ homes or facilities

Requirements

• Registered Nurse (RN) with 2 years direct clinical care experience in a clinical setting or various licensed professional qualifications with 2 years of clinical practice experience
• Current, valid, unrestricted license in the state of operations
• 3 years’ wellness or managed care experience presenting clinical issues with members/physicians
• Knowledge of the health and wellness marketplace
• Verbal and written communication skills
• Analytical experience including medical data analysis
• PC proficiency (Word, Excel, PowerPoint, database experience, and web-based applications)
• Current unrestricted driver’s license, transportation, and applicable insurance
• Ability and willingness to travel within assigned territory

Benefits

• Health insurance
• 401(k) savings plan
• Pension plan
• Paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement