Field Care Manager, Behavioral Health

Humana • Louisiana, MO

24d • Hybrid

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. The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health) employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. In this role you will report to the Manager of Care Managementand be part of the Medicaid Care Management Team. In this role you will: •Conducts telephonic and in-person assessments to evaluate members’ needs, guiding members and their families toward appropriate resources to support optimal wellness. •Continuously monitors member progress through ongoing assessments and evaluations to ensure achievement of desired health outcomes. •Develops individualized care plans based on comprehensive assessments, aligning with departmental and organizational strategies. •Collaborates with healthcare providers and community resources to facilitate quality, cost-effective care and support. •Ensures members receive necessary services and supports across Behavioral Health, Physical Health, Social Determinants of Health, and value-added benefits. •Coordinates with the transdisciplinary care team, including at minimum the Primary Care Provider (PCP), to manage transitions of care. •Documents and submits incident reports as required. Use your skills to make an impact

Requirements

• An active, unrestricted LA Licensed Masters Clinical Social Worker (LCSW), OR
• LA Licensed Professional Counselor (LPC) OR
• LA Licensed Marriage Family Therapist (LMFT) OR
• LA Licensed Addiction Counselor (LAC) OR
• Active, unrestricted Louisiana Registered Nurse (RN) license with at least three years of experience in behavioral health.
• 2+ years or more of experience working as a behavioral health professional
• Experience with behavioral change, health promotion, coaching and/or wellness
• Proficient in using electronic information systems and Microsoft Office tools (Word, Outlook, Excel) to document, communicate, and collaborate effectively with internal partners and members.
• Demonstrates strong keyboard and web navigation skills, provides clear narrative documentation, and builds rapport through exceptional communication and interpersonal abilities.
• Must reside and perform work in the state of Louisiana and willing to travel to see members up to 75% of the time
• Must be willing to travel at least 75% of the time within a 30-40 mile radius of your assigened Region, to conduct field visits with members in your assigned area.
• 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 or whichever is higher.
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Experience supporting patients telephonically
• Experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team, and substance use disorder treatment
• Experience working with both children and adults
• Bilingual Language in both English and Spanish or Creole Bilingual (English/Spanish) - Bilingual Language in both English and Spanish or Creole– Language Proficiency Assessment will be performed to test fluency in reading, writing and speaking in both languages.

Responsibilities

• Conducts telephonic and in-person assessments to evaluate members’ needs, guiding members and their families toward appropriate resources to support optimal wellness.
• Continuously monitors member progress through ongoing assessments and evaluations to ensure achievement of desired health outcomes.
• Develops individualized care plans based on comprehensive assessments, aligning with departmental and organizational strategies.
• Collaborates with healthcare providers and community resources to facilitate quality, cost-effective care and support.
• Ensures members receive necessary services and supports across Behavioral Health, Physical Health, Social Determinants of Health, and value-added benefits.
• Coordinates with the transdisciplinary care team, including at minimum the Primary Care Provider (PCP), to manage transitions of care.
• Documents and submits incident reports as required.

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