Government Programs Care Manager II

Health Care Service Corporation

. Provide care coordination to members via telephonic and/or field-based care management .

Posted 11/11/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $29 - $48 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, health assessments, and patient education, with a strong focus on engaging members in their health goals. Proficient in analyzing medical data and interfacing with various stakeholders to support clinical operations.

Highest-signal resume keywords

Registered Nurse (RN)Wellness or Managed Care ExperienceAnalytical Experience Including Medical Data AnalysisPatient Education ExperienceCondition Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationHealth AssessmentsTelephonic Care ManagementDirect Clinical ExperienceComplex Case Management

Soft Skills

Verbal Communication SkillsWritten Communication SkillsInterpersonal Skills

Tools & Technologies

PC ProficiencyWordExcelPowerPointWeb-Based Applications

Certifications & Qualifications

Licensed Clinical Professional Counselor (LCPC)Licensed Clinical Social Worker (LCSW)Licensed Marriage and Family Therapist (LMFT)

Industry Keywords

Health and Wellness MarketplaceGovernment ProgramsHigh-Needs ChildrenManaged CareClinical Operations

About the role

Key responsibilities & impact

Provide care coordination to members via telephonic and/or field-based care management
Inform and educate members on health care programs addressing their personal health needs
Engage members in discussions about adherence to personal health goals
Respond to member inquiries
Support clinical operations and provider and member activities
Complete member telephonic and/or field-based health screenings
Complete comprehensive health assessments and care planning
Visit members’ homes and/or facilities when required
Present clinical issues to members and physicians
Interface with internal staff, management, external vendors, and community resources
Travel within the assigned territory

Requirements

What you’ll need

Registered Nurse (RN), Licensed Clinical Professional Counselor (LCPC, IL), Licensed Clinical Social Worker (LCSW, IL & NM), or Licensed Marriage and Family Therapist (LMFT, IL & NM)
Current, valid, unrestricted license in the state of operations or reciprocity
Compact licensees changing permanent residence 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 for discussing medical needs and interfacing with internal staff, management, external vendors, and community resources
Analytical experience including medical data analysis
PC proficiency including Word, Excel, PowerPoint, databases, and web-based applications
Current unrestricted driver’s license, transportation, and applicable insurance
Ability and willingness to travel within assigned territory
Illinois high-needs children: Bachelor’s degree in nursing, social sciences, social work, or related field
Illinois high-needs children: 1 year of supervised clinical experience in a human-services field
Direct clinical experience
Patient education experience
Condition Management experience
Experience managing complex or catastrophic cases
Government Programs experience
Sponsorship is not available

Benefits

Comp & perks

Curated professional development plans
Professional development investment
Union role
Employee referral process
Equal opportunity employment
Drug-free and smoke-free workplace