Humana · 6 hours ago
Field Care Manager, Behavioral Health
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Responsibilities
Coordinates and collaborates with providers and community services to promote quality and cost-effective outcomes.
Works assignments involving individuals identified by the Health Needs Assessment.
Employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues by advocating, empowering and assisting the member in transforming their current state.
Identifies and resolves barriers and social determinants that hinder effective care and health outcomes.
Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
May include creating member’s plan of care as well as influencing department strategy, decision making on cases and approaches for project components.
Exercises considerable latitude in determining objectives and approaches to assignments.
Maintains knowledge of community health and social service agencies and additional community resources is a plus.
Qualification
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Required
Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia.
An active, unrestricted Licensed Masters Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage Family Therapist (LMFT) in the state of Kentucky, or other an independent professional state license with a minimum of 1 year of post-degree clinical experience in behavioral health OR an 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.
This role is considered patient facing and is 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 are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Preferred
Experience working with the KY Medicaid Population.
Experience working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients.
Managed Care Experience.
Case Management Certification (CCM).
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.
Funding
Current Stage
Public CompanyTotal Funding
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
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