Field Care Manager, Behavioral Health

Humana Inc; Illinois; Hybrid; USD 65,000 - 89,000; Full time

Benefits offered by this job

Hiring bonus: $5,000

Tuition reimbursement up to $5,000 per

Job summary

Humana Inc. is seeking a Behavioral Health Care Coordinator to deliver high-quality, evidence-based services through care coordination, crisis intervention, and strong collaboration with providers.

This role supports members across age groups with SMI/SED/SUD, traveling to regions for in-person assessments and ensuring compliant, culturally competent care. You will drive the interdisciplinary care team, manage transitions, and work with internal and community partners to link services while

Qualifications

• Must reside in Illinois.
• Active Illinois license in LCSW, LMFT or LCPC.
• 2+ years of post-degree clinical experience in behavioral health.
• Travel to region-based facilities and homes for face-to-face assessments.
• Proficient with Microsoft Word, Outlook, and Excel.
• Valid driver’s license and reliable transportation.

Responsibilities

• Coordinate behavioral health and medical services with the ICT.
• Oversee care planning, transitions, and service delivery.
• Facilitate ICT meetings and ensure provider communication.
• Engage members in communities with face-to-face assessments when possible.
• Ensure compliance with IDHS, CMS, and NCQA requirements.
• Collaborate with internal departments and community-based organizations.

Skills

Case management

Interdisciplinary care coordination

Electronic medical records

MS Word/Outlook/Excel

Travel readiness

Driver's license

Education

Illinois license: LCSW/LMFT/LCPC

Tools

EMR systems

Job description

Position Responsibilities

Utilize high-quality, evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical and behavioral health providers. Provide comprehensive, integrated support to members experiencing behavioral health conditions, including children, adolescents, adults with serious mental illness (SMI) and serious emotional disturbance (SED), Substance Use Disorders (SUD) and justice-involved members. Engage members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination. Coordinate behavioral health and medical services, ensuring appropriate provider engagement and adherence to treatment plans. Improve member's health literacy while simultaneously addressing health related social needs to positively impact member's healthcare outcomes and well-being. Serve as the driver of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery. Facilitate ICT meetings, ensuring communication among providers, Service Coordinators, and Care Management Extenders. Proactively support transition of care efforts. Will work with autonomy but reach out when support is needed. Collaborate with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members' preferences and needs. Follow processes and procedures to ensure compliance with regulatory requirements by the Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). Upon hire, this role will be assigned to support either MLTSS or LTSS based on business needs. Use your skills to make an impact

Hiring Bonus

EARN A $5,000 HIRING BONUS! $2500 is paid after 6 months (180 days) of employment and $2500 is paid after 1 year (365 days) of employment. You must be employed until those dates to be eligible to receive the payment.

Tuition Reimbursement

Humana pays 100% of eligible tuition expenses and mandatory fees up front to the educational institution and reimburses for qualifying non-tuition expenses (up to $5,000 per funding year).

Required Qualifications

• Must reside in Illinois
• Active Illinois license in LCSW, LMFT or LCPC (No supervisees or provisional licenses)
• 2+ years of post-degree clinical experience in behavioral health setting.
• Case management experience working with complex SMI, SUD, SED population.
• Ability to travel to region-based facilities and homes for face-to-face assessments.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Valid driver's license, car insurance, and reliable transportation.

Preferred Qualifications

• Case Management Certification (CCM)
• 3+ years of in-home assessment or care coordination experience.
• Experience working with Medicare, Medicaid and dual-eligible populations
• Field Case Management Experience
• Knowledge of community health and social service agencies and additional community resources
• Previous managed care experience
• Bilingual

Workstyle

This is a remote position that will require you to travel.

Travel

Up to 75% of the time for collaboration and face-to-face meetings and field interactions with staff, providers, members, and their families. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Workdays and Hours

Monday – Friday; 8:00am - 5:00pm Central Standard Time (CST).

Tuberculosis Screening Program

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driver Safety Program

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Internet Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Pay Range

Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.