at Health Care Service Corporation in Downers Grove, Illinois, United States
Job Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
This position is responsible for conducting care management and health education programs for customers on government health care programs accountabilities include gathering, analyzing, and providing date for regulatory reports this position will represent the company to members.
TELECOMMUTE WORK
JOB REQUIREMENTS:
Registered Nurse (RN), Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) with 2 years direct clinical care to the consumer in a clinical setting.
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 4 years wellness or managed care experience presenting clinical issues with members/physicians.
Experience handling medical management programs and health educations programs in an independent manner.
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.
PREFERRED JOB REQUIREMENTS:
3 years clinical experience.
Patient education experience.
Condition Management experience.
*CA
#LI- TELECOMMUTE
We encourage people of all backgrounds and experiences to apply.
Even if you don't meet every listed qualification, apply anyway - you might have qualifications we haven't even thought of yet.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
BCBSTX complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
