Field Care Manager, Behavioral Health

Humana • Louisville, KY

35d • Remote

About The Position

Become a part of our caring community and help us put health first The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Care Management is an overall approach to managing enrollees' care needs and encompasses a set of activities intended to improve patient care and reduce the need for medical services by enhancing coordination of care, eliminating duplication, and helping patients and caregivers more effectively manage health conditions. The Behavioral Health Care Manager will perform telephonic or face to face assessments and evaluations of the member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member. The Behavioral Health Care Manager will coordinate and collaborate with providers and community services to promote quality and cost-effective outcomes. In this role, the Behavioral Health Care Manager provides comprehensive support to members who have recently been discharged from inpatient facilities, as well as those with a history of frequent readmissions. The position requires effective collaboration across internal teams and with both inpatient and outpatient providers to promote continuity of care and achieve positive health outcomes for members. The Behavioral Health Care Manager employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental and psycho-social health issues by advocating, empowering and assisting the member in transforming their current state. The Behavioral Health Care Manager identifies and resolves barriers and social determinants that hinder effective care and health outcomes. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. The Role may include creating member's plan of care as well as influencing department strategy, decision making on cases and approaches for project components. The Behavioral Health Care Manager will exercise considerable latitude in determining objectives and approaches to assignments. Knowledge of community health and social service agencies and additional community resources Use your skills to make an impact

Requirements

• Field Care Manager, Behavioral Health must meet one of the following: An active, unrestricted KY Licensed Masters Clinical Social Worker (LCSW), OR KY Licensed Professional Clinical Counselor (LPCC) OR KY Licensed Marriage Family Therapist (LMFT) OR Other independent professional KY state license with 1+ year of post-degree clinical experience in behavioral health OR Active, unrestricted Kentucky Registered Nurse (RN) license with at least three years of experience in behavioral health.
• Field Care Manager, Behavioral Health must meet both of the following: Intermediate or advance proficiency using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.
• Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Tennessee or Virginia.
• Driver's License, Reliable Transportation, Insurance.
• This role is part of Humana's Driver safety program and therefore requires an individual to have: A valid state driver's license, proof of personal vehicle liability insurance with at least 100/300/100 limits, and a reliable vehicle.
• Any Humana employee who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
• 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.
• 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 recommended; wireless, wired cable or DSL connection is required Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Experience working with the KY Medicaid Population.
• Managed Care Experience.
• Case Management Certification (CCM).
• Experience working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients.
• Experience with behavioral change, health promotion, coaching and wellness.
• Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish.

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees