Care Manager, Behavioral Health

Become a part of our caring community

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 Care Manager, Behavioral Health performs face-to-face and telephonic assessments with Medicaid members. The Field 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 Field Care Manager BH remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and supporting our members with comprehensive, integrated behavioral health care management.

Responsibilities

• 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), Substance Use Disorders (SUD) 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 (HRA).
• 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.
• Serve as 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.
• Proactively support transition of care efforts
• 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 Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).
• Other job duties as assigned

Use your skills to make an impact

Required Qualifications

• Active Illinois licensed LCSW, LMFT or LCPC (No provisional licenses)
• Must reside in Illinois or a border state
• Minimum of 2 years of post-degree clinical experience in behavioral health setting
• Case management experience working with complex SMI, SUD, SED population
• Ability to travel to region-based facilities and homes for face-to-face assessments.
• This role is considered patient-facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Preferred Qualifications

• Case Management Certification (CCM)
• 3+ years of care coordination experience, including in-home assessments
• Experience working with Medicaid populations
• Field Case Management Experience
• Knowledge of community health and social service agencies and additional community resources
• Previous managed care experience
• Bilingual

Additional Information

• Workstyle: This is a remote position that will require you to travel.
• Travel: Up to 25% travel for collaboration and face-to-face meetings as well as field interactions with staff, providers, members, and their families.
• Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel. Eligible mileage includes travel from your home to your first work location, travel between client or assignment locations during the workday, and travel from your final work location back to your home.
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$65,000 - $88,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.