Field Care Manager, Behavioral Health

Humana • Bolingbrook, IL

8d • Remote

About The Position

The Care Coach 2 assesses and evaluates member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. The Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Coach Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care. Ensures the patient is progressing towards desired outcomes by continuously monitoring patient care through the use of assessment, data, conversations with the member, and active care planning. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Care Coach Coordinator 2 assesses and evaluates member's needs and requirements in order to establish a member-specific care plan and coordinates services. Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being by assessing their care needs. Plans and implements interventions to meet care needs. Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract. Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel. Use your skills to make an impact.

Requirements

• Applicants must reside in Cook or Will County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60401, 60403, 60404, 60408, 60410, 60417, 60421, 60423, 60431, 60432, 60433, 60434, 60435, 60436, 60439, 60440, 60441, 60442, 60446, 60448, 60449, 60451, 60468, 60481, 60484, 60490, 60491, 60503, 60544, 60564, 60583, 60585, 60586
• 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.
• Self-provided internet service must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• 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

Responsibilities

• Assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state.
• Guide members/families toward and facilitate interaction with resources appropriate for the care and well-being of members.
• Employ a variety of strategies, approaches, and techniques to manage a member's health issues.
• Identify and resolve barriers that hinder effective care.
• Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessment, data, conversations with member, and active care planning.
• Assess and evaluate member's needs and requirements in order to establish a member-specific care plan and coordinate services.
• Ensure members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being by assessing their care needs.
• Plan and implement interventions to meet care needs.
• Coordinate services, monitor and evaluate the case management plan against the member's personal goals.
• Guide members/families towards resources appropriate for their care.
• Facilitate interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract.
• Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed