Humana · 3 weeks ago
Field Care Manager Behavioral Health
United States
Full-time
Remote
Entry, Mid Level
$65K/yr - $89K/yr
2+ years expHumana is committed to putting health first for their community. The Behavioral Health Care Manager will perform assessments and provide integrated care to ensure members receive high-quality services tailored to their unique needs.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Perform primarily face to face and telephonic assessments with members
Serve as the primary point of contact, providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs
Employ a variety of strategies, approaches, and techniques to manage a member's health issues and identify and resolve barriers that hinder effective care
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), and justice-involved members
Engage 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 (CHRA)
Coordinate 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 quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery
Facilitate ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders
Engage in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention
Collaborate 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
Follow processes and procedures to ensure compliance with regulatory requirements by the Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA)
Qualification
Required
Bachelor's degree in social work, psychology or other health or human services related field
Virginia licensed LMHP, LPC or LCSW
Minimum of 2 years of post-degree clinical experience in behavioral health setting
Case management experience working with complex SMI or SED population
Must reside in Northern and Charlottesville regions of Virginia
Ability to travel to region-based facilities and homes for face-to-face assessments
Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Ability to use a variety of electronic information applications/software programs including electronic medical records
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Ability to work a full-time schedule
Valid driver's license, car insurance, and reliable transportation
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred
Case Management Certification (CCM)
3-5 years of in-home assessment and care coordination experience
Experience working with Medicare, Medicaid and dual-eligible populations
Experience working with high risk pregnant and post-partum population with BH needs
Field Case Management Experience
Knowledge of community health and social service agencies and additional community resources
Previous managed care experience
Bilingual preferred (Spanish, Arabic, Vietnamese or other)
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
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