Government Programs Care Manager III

Health Care Service Corporation

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

Posted 10/27/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $30 - $55 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination and clinical assessment, with a strong focus on member engagement and adherence to health goals. Proficient in analyzing medical data and communicating effectively with diverse stakeholders in the health and wellness marketplace.

Highest-signal resume keywords

Registered Nurse (RN)Clinical Care ExperienceWellness or Managed Care ExperienceAnalytical ExperiencePC Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationHealth AssessmentsTelephonic Care ManagementHealth ScreeningsData Analysis

Soft Skills

Verbal CommunicationWritten CommunicationMember Engagement

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointDatabase ApplicationsWeb-Based Applications

Certifications & Qualifications

Registered Nurse (RN) LicenseLCPC (IL)LCSW (IL & NM)LMFT (IL & NM)

Industry Keywords

Health Care ProgramsWellness MarketplaceManaged CareClinical PracticeComplex Populations

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 personal health needs
Engage members in discussions of 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
Perform field-based care in the Rockford, Springfield, and Southern Illinois area

Requirements

What you’ll need

Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting, or LCPC (IL), LCSW (IL & NM), or LMFT (IL & 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 with members and interfacing with internal staff/management, external vendors, and community resources
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
Sponsorship is not available

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
Other incentives
Annual incentive bonus plan