Description

Become a part of our caring community
The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements. We do this to achieve and/or maintain an optimal wellness state. You will guide members/families toward resources and facilitate interaction with them. These resources are 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 Field Care Manager, Behavioral Health assesses and evaluates member's needs and requirements. This is done to achieve and/or maintain an optimal wellness state. The manager guides members/families toward and facilitates interaction with resources appropriate for the care and wellbeing of the member.

Position Responsibilities

The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health) employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues. Identify and resolve barriers that hinder effective care.

• Perform telephonic and face-to-face assessments and evaluations of the member's needs and requirements. These assessments aim to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.
• Ensure member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
• Create member care plans. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
• Collaborate with providers and community services to promote quality and cost-effective outcomes.
• Deliver needed services/supports for Behavioral Health, Physical Health, Social Determinant of Health and value added benefits.
• Coordinate across the transdisciplinary care team (at a minimum the PCP) and transitions of care
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Submit incident reports

Use your skills to make an impact

Required Qualifications

• 3+ years experience as LPC, LCSW, LAC or psychiatric RN
• Applicable State licensure in field of study
• Intermediate to Advanced computer skills and experience with Microsoft Office

Preferred Qualifications

• Bilingual a plus
• Previous managed care experience
• Certification in Case Management
• Experience working with children and adolescence

Additional Information

Workstyle: Combination remote work at home and onsite/home member visits

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM

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 year

This 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 atHumana.comand atCenterWell.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.
Requisition #: R-423553

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