Government Programs Care Manager III

Health Care Service Corporation

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

Posted 10/7/2026full-timeChicago • Illinois • United StatesMid-LevelSenior💰 $35 - $58 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, clinical assessments, and member engagement, with a strong focus on health education and adherence to health goals. Proficient in managing complex cases and interfacing with diverse stakeholders in the healthcare environment.

Highest-signal resume keywords

Registered Nurse (RN)Clinical Care ExperienceCare CoordinationHealth AssessmentsBilingual in English and Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsCare PlanningMedical Data AnalysisCondition ManagementPatient EducationWellness ExperienceManaged Care ExperienceBehavioral Health ExperienceCase ManagementPopulation Management

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal SkillsAnalytical Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointDatabasesWeb-Based Applications

Certifications & Qualifications

Case Management CertificationProject Management CertificationNationally Recognized Health Care Certification

Industry Keywords

Health and Wellness MarketplaceManaged CareGovernment ProgramsMCO Case ManagementIllinois-Specific QualificationsTexas-Specific Experience

About the role

Key responsibilities & impact

Provide care coordination to members through telephonic and/or field-based care management
Inform and educate members about health care programs and address 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 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)
Compact RN 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-specific qualifications for waiver programs, including applicable RN, social work, counseling, behavioral health, case management, or human services credentials and experience
Texas-specific experience working with children and young adults with similar behavioral health conditions or behaviors in three of the last five years
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 a nationally recognized health care certification
Preferred: Government Programs experience
Preferred: Population Management
Preferred: MCO case management experience

Benefits

Comp & perks

Curated development plans supporting professional development
Union role
Remote work arrangement
Employee referral process
Equal opportunity workplace
Drug-free and smoke-free workplace