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Health Care Service Corporation

Government Programs Care Manager III

Health Care Service Corporation

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

Posted 9/21/2026full-timeRemote • New Mexico • United StatesMid-LevelSenior💰 $27 - $59 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care coordination, clinical assessments, and patient education, with a strong focus on engaging members in their health goals and managing complex cases. Proficient in utilizing analytical skills and technology to support clinical operations and enhance member care.

Highest-signal resume keywords
Registered Nurse (RN)Clinical Care ExperienceCare CoordinationPatient EducationCase Management Certification

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Clinical AssessmentsHealth ScreeningsMedical Data AnalysisCondition ManagementWellness ExperienceManaged Care ExperienceBilingual in English and SpanishPopulation Management
Soft Skills
Verbal CommunicationWritten CommunicationAnalytical Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPointDatabase ApplicationsWeb-Based Applications
Certifications & Qualifications
Case Management CertificationProject Management CertificationHealth Care Certification
Industry Keywords
Health and Wellness MarketplaceGovernment ProgramsBehavioral HealthSocial Work LicenseComplex Case Management

About the role

Key responsibilities & impact
  • Provide care coordination to members through telephonic and/or field-based care management
  • Inform and educate members on health care programs addressing 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 to support complex and specialty populations
  • 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) with 2 years direct clinical care experience, or specified unrestricted behavioral health/social work license with 2 years of clinical practice experience
  • Current, valid, unrestricted license in the state of operations (or reciprocity)
  • Compact RN licensees changing permanent residence must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire
  • Plus 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
  • Analytical experience including medical data analysis
  • PC proficiency including 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
  • State-specific qualifications for Illinois and Texas programs as listed
  • Preferred: 3 years direct clinical experience
  • Preferred: Patient education experience
  • Preferred: Condition Management experience
  • Preferred: Bilingual in English and Spanish
  • Preferred: Experience managing complex or catastrophic cases
  • Preferred: Certification in Case Management, Training, Project Management, or nationally recognized health care certification
  • Preferred: Government Programs experience
  • Preferred: Population Management experience

Benefits

Comp & perks
  • Professional development plans
  • 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
  • Annual incentive bonus plan