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About the Role

This position is responsible for providing telephonic and/or field-based care coordination to members, educating them on healthcare programs, engaging them in achieving personal health goals, responding to inquiries, and supporting clinical operations. Duties include conducting health screenings, comprehensive health assessments, and care planning, which may involve home visits for complex and specialty populations.

Responsibilities

• Provide care coordination to members via telephonic and/or field-based care management.
• Inform and educate members on healthcare programs to address their personal health needs.
• Engage members in discussions about adherence to personal health goals.
• Respond to inquiries from members.
• Support clinical operations with provider and member activities.
• Complete member telephonic and/or field-based health screenings.
• Conduct comprehensive health assessments.
• Perform care planning duties, which may require visits to members’ homes and/or facilities to support complex and specialty populations.

Requirements

• Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting.
• Unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), Licensed Clinical Social Worker (LCSW, IL & NM), Licensed Marriage and Family Therapist (LMFT, IL & NM), Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent Social Worker (LISW, NM), or Licensed Mental Health Counselor (LMHC, NM) with 2 years of clinical practice experience.
• Current, valid, unrestricted license in the state of operations (or reciprocity).
• For compact licensees changing permanent residence to the state of operations, must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
• 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, 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.
• Texas Only: Level 3 children with behavioral health issues - experience in working with children and young adults with similar conditions or behaviors in three of the last 5 years.

Skills

• Medical data analysis
• Patient education
• Condition Management
• Case Management
• Training
• Project Management
• Government Programs experience
• Population Management
• Bilingual in English and Spanish

Location

• Field sites located in the Bryan/College Station, TX area.

Work Type

• Field-based
• Telephonic

Experience Level

• 2 years direct clinical care
• 2 years clinical practice experience
• 3 years wellness or managed care experience
• 3 years direct clinical experience

Education Level

• Registered Nurse (RN)
• Licensed Professional Counselor (LPC, TX)
• Licensed Master Social Worker (LMSW, TX)
• Licensed Clinical Professional Counselor (LCPC, IL)
• Licensed Clinical Social Worker (LCSW, IL & NM)
• Licensed Marriage and Family Therapist (LMFT, IL & NM)
• Licensed Professional Clinical Counselor (LPCC, NM)
• Licensed Independent Social Worker (LISW, NM)
• Licensed Mental Health Counselor (LMHC, NM)
• Certification in Case Management, Training, Project Management or nationally recognized health care certification.

Salary/Compensations

• $26.90 - $59.35
• Annual incentive bonus plan

Benefits

• 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
• Other incentives

About the Company

• 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.

Equal Opportunity

• 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.