Government Programs Care Manager III

Health Care Service Corporation

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

Posted 9/22/2026full-timeRemote • New Mexico • United StatesMid-LevelSenior💰 $27 - $59 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 clinical operations and data analysis, with the ability to interface effectively with diverse stakeholders.

Highest-signal resume keywords

Registered Nurse (RN)Clinical Care ExperienceCare CoordinationPatient EducationCase Management Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health AssessmentsMedical Data AnalysisCondition ManagementWellness ExperienceTelephonic Care Management

Soft Skills

Verbal CommunicationWritten CommunicationAnalytical Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointWeb-Based ApplicationsDatabase Management

Certifications & Qualifications

Case Management CertificationProject Management Certification

Industry Keywords

Managed CareHealth and Wellness MarketplaceGovernment ProgramsPopulation ManagementBehavioral Health License

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 regarding 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
Complete comprehensive health assessments and care planning
Visit members’ homes and/or facilities as needed to support complex and specialty populations
Present clinical issues with 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 to the consumer in a clinical setting, or an applicable unrestricted behavioral-health license with 2 years of clinical practice experience
Current, valid, unrestricted license in the state of operations (or reciprocity)
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 waiver qualifications may require nursing, social work, counseling, psychology, human services, case management, or related credentials/experience
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

Benefits

Comp & perks

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
Professional development opportunities