Field Care Manager, Behavioral Health

Humana; EE. UU.; A distancia; USD 70.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hiring bonus

Tuition assistance

Descripción de la vacante

Humana seeks a Field Care Manager, Behavioral Health in Illinois to perform face-to-face and telephonic assessments. You will coordinate integrated BH and medical care, engage members in communities, and lead interdisciplinary care planning to improve outcomes.

Role requires travel up to 75% and working remotely with CST business hours. A licensed BH professional in IL and 2+ years of post-degree experience are required.

Formación

• 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 with complex SMI, SUD, SED populations.
• Ability to travel to region-based facilities and homes for assessments.
• Proficient with electronic medical records and MS Office tools.

Responsabilidades

• Deliver high-quality behavioral health services through care coordination, crisis intervention, peer support, and collaboration with providers.
• Provide integrated support for members with BH conditions including SMI, SED, SUD.
• Engage members in communities with face-to-face visits to build trust and coordinate care.
• Coordinate BH and medical services, ensuring provider engagement and treatment adherence.
• Lead ICT meetings, oversee care planning, transitions, and service delivery.
• Support transition of care efforts and ensure smooth care handoffs.

Conocimientos

Care coordination

Crisis intervention

Interdisciplinary collaboration

Member communication

Educación

Master's degree in social work or counseling

Herramientas

EMR

Microsoft Word/Outlook/Excel

Descripción del empleo

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 o