Field Care Manager Behavioral Health

Humana•Work at Home - South Carolina, SC

1d•$65,000 - $88,600•Remote

About The Position

Humana Healthy Horizons seeks a Behavioral Health Case Manager based in South Carolina to assess enrollees’ needs and help individuals and families access clinical, community, and social resources that support optimal wellness. The position primarily supports enrollees with complex and intensive health needs, coordinating person-centered care through telephonic and in-person interactions. The role reports to the Manager, Care Management Behavioral Health. This remote, field-based position serves members throughout an assigned South Carolina service area. Fieldwork is mandatory, with at least 50% local travel for face-to-face meetings and field-based interactions with enrollees, families, providers, and staff. Occasional travel to Humana offices for training or meetings may also be required. Employees must maintain a dedicated workspace that protects member privacy and complies with PHI and HIPAA requirements, and meet the stated home internet requirements.

Requirements

Must reside in South Carolina.
Must hold an active South Carolina social worker or behavioral health license: LMSW, LPC, LBSW, LISW-AP, or LISW-CP.
At least 2 years of recent case management or care management experience.
Experience working with Medicaid or Medicare enrollees to coordinate services, care needs, or benefits.
Knowledge of community health and social service agencies and other community resources.
Ability to meet the fieldwork and travel requirements, including at least 50% local travel.
Ability to maintain a dedicated workspace that protects member privacy and complies with PHI and HIPAA requirements.
For work from home, self-provided internet service must provide at least 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL is suggested.

Nice To Haves

Experience in Community Mental Health, a crisis response team, or an Assertive Community Treatment (ACT) team.
Experience with substance use disorder treatment.
Experience working with both children and adults.

Responsibilities

Conduct telephonic and face-to-face assessments of enrollees’ behavioral, physical, environmental, and psychosocial needs, using care management strategies to support health and well-being.
Develop individualized, person-centered care plans and guide enrollees and families to appropriate clinical, community, and social resources.
Collaborate with providers and community-based services to promote high-quality, cost-effective outcomes.
Identify and address barriers to effective care, monitor progress through ongoing assessments and evaluations, and adjust interventions as needed.
Work with the interdisciplinary care management team, including community health workers, housing support specialists, and care management support assistants, to coordinate holistic support.
Use clinical expertise and professional judgment to determine when face-to-face support is appropriate, engage relevant care team members, and coordinate in-person meetings.
Interpret complex information, independently determine appropriate courses of action, follow established guidelines and procedures, and align daily work with organizational strategies and objectives.