Field Care Manager, Behavioral Health

Humana • Chicago, IL

21d • $71,500 - $97,500 • Remote

About The Position

The Field Care Manager, Behavioral Health performs primarily face-to-face and telephonic assessments and serves as members’ primary point of contact. The role provides integrated care coordination to help members receive timely, high-quality services tailored to their needs. Using a holistic, person-centered approach, the manager addresses health issues, identifies and resolves barriers to effective care, supports behavioral health outcomes, and reduces care gaps for Illinois’ HCI population.

The position supports members with behavioral health conditions, including children and adolescents, adults with serious mental illness (SMI) or serious emotional disturbance (SED), people with substance use disorders (SUD), and justice-involved members. The role is remote, requires extensive travel for field interactions and face-to-face assessments, and may be assigned to support MLTSS or LTSS according to business needs. It is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. Central Standard Time, for 40 hours per week. The position is patient-facing and subject to Humana’s tuberculosis screening program and driver safety requirements.

Requirements

• Must reside in Illinois.
• Active Illinois LCSW, LMFT, or LCPC license; supervisee and provisional licenses are not accepted.
• At least 2 years of post-degree clinical experience in a behavioral health setting.
• Case management experience with complex SMI, SUD, and SED populations.
• Ability to travel to region-based facilities and homes for face-to-face assessments.
• Ability to use electronic information applications and software, 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.
• Must maintain personal vehicle liability insurance meeting the applicable state minimum or the stated higher limits: $25,000 bodily injury per person, $25,000 bodily injury per event, and $10,000 property damage.
• For home work, internet service must provide at least 25 Mbps download and 10 Mbps upload; a dedicated workspace without ongoing interruptions is required to protect member PHI/HIPAA information.
• Must complete TB screening if selected for the patient-facing role.

Nice To Haves

• Case Management Certification (CCM).
• At least 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 other community resources.
• Previous managed care experience.
• Bilingual.

Responsibilities

• Use evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and collaboration with medical and behavioral health providers.
• Provide integrated support to members with behavioral health conditions, including children, adolescents, adults with SMI or SED, people with SUD, and justice-involved members.
• Engage members in their communities and meet them face-to-face when possible to build trust and coordinate care.
• Coordinate behavioral health and medical services, provider engagement, and adherence to treatment plans.
• Improve members’ health literacy and address health-related social needs.
• Lead members’ interdisciplinary care teams (ICTs), overseeing care planning, transitions, and service delivery.
• Facilitate ICT meetings and communication among providers, Service Coordinators, and Care Management Extenders.
• Proactively support transitions of care.
• Work autonomously and seek support when needed.
• Collaborate with internal departments, providers, and community-based organizations to connect members with appropriate services and provide culturally competent care that respects members’ preferences and needs.
• Follow processes and procedures to comply with requirements of the Illinois Department of Human Services (IDHS), the Centers for Medicare and Medicaid Services (CMS), and the National Committee on Quality Assurance (NCQA).
• Travel to region-based facilities and members’ homes for face-to-face assessments and field interactions.

Benefits

• $5,000 hiring bonus, paid in two installments: $2,500 after 6 months (180 days) and $2,500 after 1 year (365 days), subject to remaining employed through the applicable dates.
• Humana pays 100% of eligible tuition expenses and mandatory fees directly to the educational institution and reimburses qualifying non-tuition expenses up to $5,000 per funding year.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability coverage.
• Life insurance.
• Bonus incentive plan based on company and/or individual performance.

What This Job Offers

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