Remote Field Care Manager, Behavioral Health

Humana

Illinois

A distancia

USD 72.000 - 98.000

Jornada completa

Hace 6 días
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Ventajas ofrecidas por este puesto de trabajo

Hiring bonus
Tuition reimbursement

Descripción de la vacante

Humana is seeking a Field Care Manager, Behavioral Health in Illinois to provide face-to-face and telephonic assessments, coordinating integrated care for members with behavioral health needs. You will work with the interdisciplinary team to ensure timely, high-quality services and address barriers to care.

This remote role requires an Illinois license (LCSW/LMFT/LCPC), 2+ years of clinical experience, and willingness to travel up to 75% for patient assessments and care coordination across

Formación

  • ,Must reside in Illinois.
  • 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.

Responsabilidades

  • 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.

Conocimientos

Case management
Collaboration
Travel readiness
EMR software

Herramientas

Electronic Medical Records
Microsoft Word
Microsoft Outlook
Microsoft Excel

Descripción del empleo

Humana is seeking a Field Care Manager, Behavioral Health in Illinois to provide face-to-face and telephonic assessments, coordinating integrated care for members with behavioral health needs. You will work with the interdisciplinary team to ensure timely, high-quality services and address barriers to care.

This remote role requires an Illinois license (LCSW/LMFT/LCPC), 2+ years of clinical experience, and willingness to travel up to 75% for patient assessments and care coordination across

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