Humana · 16 hours ago
Medicaid Field Care Manager, Behavioral Health
Humana Inc. is committed to putting health first and is seeking a Field Care Manager, Behavioral Health to assess and evaluate members' needs to achieve optimal wellness. The role involves guiding members and families towards appropriate resources, coordinating care, and managing health issues through various strategies.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state
Guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Perform telephonic or face to face assessments and evaluations of the member's needs and requirements
Coordinate and collaborate with providers and community services to promote quality and cost-effective outcomes
Provides comprehensive support to members who have recently been discharged from inpatient facilities
Continuously monitoring patient care through assessments and/or evaluations
Creating member's plan of care as well as influencing department strategy
Identifies and resolves barriers and social determinants that hinder effective care and health outcomes
Qualification
Required
An active, unrestricted KY Licensed Masters Clinical Social Worker (LCSW)
KY Licensed Professional Clinical Counselor (LPCC)
KY Licensed Marriage Family Therapist (LMFT)
Other independent professional KY state license with 1+ year of post-degree clinical experience in behavioral health
Active, unrestricted Kentucky Registered Nurse (RN) license with at least three years of experience in behavioral health
Intermediate or advance proficiency using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment
Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Tennessee or Virginia
Preferred
Experience working with the KY Medicaid Population
Managed Care Experience
Case Management Certification (CCM)
Experience working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients
Experience with behavioral change, health promotion, coaching and wellness
Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish
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.
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
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
Recent News
2026-01-16
2026-01-16
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