Field Care Manager Behavioral Health

Humana • Manassas Park, VA

3d • Remote

About The Position

Become a part of our caring community and help us put health first The Behavioral Health Care Manager (Field Care Manager, Behavioral Health 2) performs primarily face to face and telephonic assessments with members. The BH Care Manager serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination 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 BH Care Manager remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and supporting Virginia’s Medicaid 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), and justice-involved members. Engages 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 (CHRA). Coordinates 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. Serving as the quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery. Facilitating ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders. Engaging in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention. Must be able to work with autonomy but reach out when support is needed. Collaborates 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. Will follow processes, and procedures to ensure compliance with regulatory requirements by the Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). Use your skills to make an impact

Requirements

• Bachelor’s degree in social work, psychology or other health or human services related field
• Virginia licensed LMHP, LPC or LCSW
• Minimum of 2 years of post-degree clinical experience in behavioral health setting
• Case management experience working with complex SMI or SED population
• Must reside in Northern and Charlottesville regions of Virginia.
• 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.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

• Case Management Certification (CCM)
• 3-5 years of in-home assessment and care coordination experience
• Experience working with Medicare, Medicaid and dual-eligible populations
• Experience working with high risk pregnant and post-partum population with BH needs
• Field Case Management Experience
• Knowledge of community health and social service agencies and additional community resources
• Previous managed care experience
• Bilingual preferred (Spanish, Arabic, Vietnamese or other)

Responsibilities

• Performs primarily face to face and telephonic assessments with members.
• Serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs.
• Employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care.
• Enhancing behavioral health outcomes, reducing care gaps, and supporting Virginia’s Medicaid 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), and justice-involved members.
• Engages 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 (CHRA).
• Coordinates 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.
• Serving as the quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
• Facilitating ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
• Engaging in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
• Collaborates 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.
• Will follow processes, and procedures to ensure compliance with regulatory requirements by the Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).

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