DCFS CM/Field Care Manager

Humana•Louisiana, MO

10d•$65,000 - $88,600•Remote

About The Position

The Field Care Manager, Behavioral Health assesses and evaluates members’ needs and requirements to help them achieve or maintain optimal wellness. The role guides members and families toward appropriate resources and facilitates their interaction with resources supporting member care and wellbeing. The Field Care Manager uses varied strategies, approaches, and techniques to manage members’ physical, environmental, and psychosocial health issues, and identifies and resolves barriers to effective care. The role monitors care through assessments and evaluations to ensure members are progressing toward desired outcomes and may create member care plans. Work assignments are varied and frequently require interpretation and independent decisions about appropriate courses of action. The position follows established guidelines and procedures, understands organizational and departmental strategy and its connections to related areas, and generally requires minimal direction, with guidance available as needed. This is a remote, patient-facing role. Occasional travel to Humana offices for training or meetings may be required. Employees working from home must have internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information. The role is included in the Humana/Senior Bridge tuberculosis screening program and requires TB screening if selected.

Requirements

LCSW, LPC, LAC, or LMFT.
Experience working with the Department of Children and Family Services.
Applicable state licensure in the field of study.
Passion for contributing to an organization focused on continuously improving consumer experiences.
If selected, completion of tuberculosis screening as part of the patient-facing role.
For home work, self-provided internet service with at least 25 Mbps download and 10 Mbps upload speeds, and a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information.

Nice To Haves

Managed care experience.
Bilingual skills.

Responsibilities

Assess and evaluate members’ needs and requirements to support optimal wellness.
Guide members and families toward appropriate resources and facilitate interaction with them.
Use strategies and techniques to manage members’ physical, environmental, and psychosocial health issues.
Identify and resolve barriers that hinder effective care.
Monitor member care through assessments and evaluations to confirm progress toward desired outcomes.
May create member care plans.
Understand departmental, segment, and organizational strategies and their connections to related areas.
Make decisions about work methods, including occasional decisions in ambiguous situations, while following established guidelines and procedures.