At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account contracts, and work across the organization in delivery of services to the customer.

JOB REQUIREMENTS:

• Registered Nurse (RN), with current, unrestricted license to practice in state of operations (TX, OK, NM, IL or MT).
• 2 years clinical experience with direct clinical care to the consumer.
• 2 years utilization review/ managed care experience.
• Leadership skills.
• Knowledge of managed care program policies and procedures.
• Knowledge of managed care and insurance industry.
• Verbal, written, and interpersonal communication skills.
• PC proficiency to include Word, Excel, PowerPoint.
• Analytical skills and sound clinical judgment.
• Case Management Certification (URAC accredited certification) or obtain URAC accredited case management certification within three years of employment if overseeing case management operations.
• Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS:

• Supervisory experience.
• Bachelor degree

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#LI-Remote

This is a Telecommute (Remote) role for Texas, Oklahoma, New Mexico, Illinois and Montana.

Sponsorship is not available

Compensation: $69,200.00 - $146,700.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards