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Posted: 10/21/2026Government Programs Care Manager III
Health Care Service CorporationCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination and clinical assessments, with a strong focus on member engagement and adherence to health goals. Proficient in analyzing medical data and presenting clinical issues effectively to both members and healthcare providers.
Highest-signal resume keywords
Registered Nurse (RN)Clinical Care ExperienceWellness or Managed Care ExperienceVerbal and Written Communication SkillsMedical Data Analysis
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 with provider and member activities
- Complete member telephonic and/or field-based health screenings
- Conduct comprehensive health assessments and care planning
- Visit members’ homes and/or facilities as needed for complex and specialty populations
- Present clinical issues to members and physicians
- Travel within the assigned territory
Requirements
What you’ll need- Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting; or 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
- 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
Benefits
Comp & perks- Curated development plans and professional development opportunities
- 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
- Annual incentive bonus plan
- Other incentives
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care CoordinationHealth AssessmentsCare PlanningTelephonic Health ScreeningsClinical Issue PresentationAnalytical Experience
Soft Skills
Member EngagementInterpersonal Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPointDatabasesWeb-Based Applications
Certifications & Qualifications
Registered Nurse (RN) LicenseLicensed Professional Counselor (LPC)Licensed Master Social Worker (LMSW)Licensed Clinical Social Worker (LCSW)Licensed Marriage and Family Therapist (LMFT)Licensed Professional Clinical Counselor (LPCC)Licensed Independent Social Worker (LISW)Licensed Mental Health Counselor (LMHC)
Industry Keywords
Health Care ProgramsWellness MarketplaceManaged CareClinical OperationsMember Inquiries