Field Care Manager, Behavioral Health

Humana; Oregon; Hybrid; USD 72,000 - 98,000; Full time

Job summary

Humana is seeking a Field Care Manager, Behavioral Health to perform face-to-face and telephonic assessments, serving as the primary contact to members and coordinating integrated care.

You will work with diverse populations including SMI, SED, and SUD, travel up to 75%, collaborate with ICT, and support care transitions while complying with regulatory requirements.

Qualifications

• Must reside in Illinois (stated requirement)
• Active Illinois license in LCSW, LMFT or LCPC
• 2+ years of post-degree clinical experience in behavioral health
• Case management experience with complex SMI/SUD/SED populations
• Ability to travel to region-based facilities and homes for face-to-face assessments
• Ability to use electronic information applications including electronic medical records
• Proficient in Microsoft Word, Outlook, and Excel
• Valid driver's license and reliable transportation

Responsibilities

• Utilize behavioral health services through care coordination, crisis intervention, peer support, and collaboration with providers
• Provide integrated support to members with behavioral health conditions across age groups
• Engage members in communities with face-to-face interactions to build trust
• Coordinate behavioral health and medical services ensuring provider engagement and adherence to plans
• Improve health literacy and address health-related social needs to improve outcomes
• Lead interdisciplinary care teams and oversee care planning and service delivery
• Facilitate ICT meetings and ensure provider and coordinator communication
• Support transition of care efforts
• Collaborate with internal departments and community-based organizations to link to services
• Comply with regulatory requirements by IDHS, CMS, and NCQA; support MLTSS or LTSS as needed

Skills

Travel

Case management

EMR systems

Microsoft Office

Communication

Tools

Electronic Medical Records

Job description

Become a part of our caring community

The Field Care Manager, Behavioral Health performs primarily face to face and telephonic assessments with members. The Field Care Manager serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs. This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care. Through a holistic, person-centered approach, the Field Care Manager BH remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and supporting Illinois' HCI population with comprehensive, integrated behavioral health care management...

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

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.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

Additional Information

• 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.
• Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST).

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.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. Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.$71,500 - $97,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of 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.