Field Care Manager; Behavioral Health

Humana; United States; Remote; USD 59,000 - 81,000; Full time

Job summary

Join a leading healthcare organization as a Field Care Manager, Behavioral Health 2, where you'll assess members' needs and guide them towards optimal wellness. This remote role involves collaboration with providers, managing cases, and developing care plans to enhance patient outcomes. Ideal candidates will have relevant KY licenses and experience in behavioral health. Enjoy a flexible schedule and a comprehensive benefits package, including medical, dental, and retirement plans.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• Active KY license required with clinical experience.
• Proficiency in Microsoft Office Suite.

Responsibilities

• Coordinate with providers and community services.
• Manage cases identified through Health Needs Assessment.
• Develop care plans and monitor patient progress.

Skills

Proficiency in Microsoft Office Suite

Experience with Severe and Persistent Mental Illness

Experience with Substance Use Disorder

Behavioral change

Health promotion

Coaching

Wellness

Education

KY Licensed Masters Clinical Social Worker

KY Licensed Professional Clinical Counselor

KY Licensed Marriage Family Therapist

KY Registered Nurse

Job description

Become a part of our caring community and help us put health first

Humana Healthy Horizons in Kentucky is seeking a Field Care Manager, Behavioral Health 2 who will assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness. The role involves guiding members and families toward appropriate resources for care and wellbeing. The work assignments are varied and often require independent interpretation and decision-making.

Care Management is an approach to managing enrollees’ care needs, aiming to improve patient care and reduce medical services by enhancing coordination, eliminating duplication, and empowering patients and caregivers.

Role Responsibilities

1. Coordinate and collaborate with providers and community services to promote quality and cost-effective outcomes.
2. Manage cases involving individuals identified through the Health Needs Assessment.
3. Employ strategies to manage physical, environmental, and psycho-social health issues by advocating, empowering, and assisting members.
4. Identify and resolve barriers and social determinants affecting care and health outcomes.
5. Monitor patient progress through assessments and evaluations to ensure desired outcomes.
6. Develop care plans and influence departmental strategies and case approaches.
7. Exercise autonomy in setting objectives and approaches; maintain knowledge of community health and social services.

Use your skills to make an impact

Required Qualifications

• One of the following: active KY Licensed Masters Clinical Social Worker (LCSW), KY Licensed Professional Clinical Counselor (LPCC), KY Licensed Marriage Family Therapist (LMFT), other KY independent license with at least 1 year of clinical experience, or active KY Registered Nurse (RN) license with at least 3 years of behavioral health experience.
• Proficiency in Microsoft Office Suite and ability to troubleshoot technical issues remotely.
• Experience with Severe and Persistent Mental Illness (SPMI) and/or Substance Use Disorder (SUD).
• Experience with behavioral change, health promotion, coaching, and wellness.
• Reside in Kentucky or a contiguous state (Ohio, Indiana, Tennessee, Virginia).

Preferred Qualifications

• Experience with Kentucky Medicaid population.
• Managed Care experience.
• Case Management Certification (CCM).
• Bilingual in English and Spanish.

Additional Information

• Workstyle & Travel: Remote position with up to 10% travel within 50 miles. Includes face-to-face and virtual meetings.
• Driver's License & Insurance: Valid license, insurance, and reliable vehicle required.
• Schedule: Monday-Friday, 8:00 AM - 6:00 PM EST, flexible within this window.
• Language & TB Screening: Language proficiency assessment required; TB screening mandatory due to patient-facing role.
• Work from Home Requirements: Internet speed of at least 25 Mbps download and 10 Mbps upload; dedicated workspace necessary.

Additional Information

• Interview Process: Using HireVue technology for virtual interviews.
• Social Security: May be asked to provide SSN for verification.
• Travel: Occasional travel for training or meetings.
• Hours & Compensation: 40 hours/week; $59,300 - $80,900 annually; eligible for bonuses.
• Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.

About us

Humana is committed to putting health first for our members, employees, and communities, offering comprehensive healthcare services and support for a variety of populations.

Equal Opportunity Employer

Humana values diversity and is committed to equal employment opportunities regardless of race, religion, gender, sexual orientation, disability, or veteran status.

About the company

Humana works to create a personalized path to health, addressing each individual's unique needs.