Field Care Manager, Behavioral Health

Humana-posted 4 months ago
$59,300 - $80,900/Yr
Full-time • Mid Level
IL
5,001-10,000 employees
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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 coordinated 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’ FIDE population with comprehensive, integrated behavioral health care management.

  • 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.
  • Complete all required assessments, including the Comprehensive Risk Assessment (HRA).
  • 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 quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
  • Facilitate ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
  • Proactively support transition of care efforts.
  • Engage in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
  • 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).
  • Other job duties as assigned.
  • Must reside in Illinois; This role will be regionally based in: Marion, Illinois; DeKalb Illinois; and McHenry County areas.
  • Active Illinois licensed LCSW, LMFT or LCPC (No supervisees or provisional licenses).
  • Minimum of 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.
  • Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport.
  • Ability to work with minimal supervision within the role and scope.
  • 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.
  • Ability to work a full-time schedule.
  • Valid driver's license, car insurance, and reliable transportation.
  • Case Management Certification (CCM).
  • 3-5 years of in-home assessment and 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.
  • Medical, dental and vision benefits.
  • 401(k) retirement savings plan.
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave).
  • Short-term and long-term disability.
  • Life insurance.
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