Hybrid Field Care Manager, Behavioral Health

at Humana

• Job title: Field Care Manager, Behavioral Health
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $65,000 - $88,600 per year
• Degree requirement: Professional Certificate
• Location requirements: Hybrid, Rockford, United States

About the role

• Field Care Manager focused on providing integrated care for behavioral health in Illinois Medicaid. Engage members face-to-face and telephonically to improve health outcomes.

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.
• Engage members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination.
• 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 driver of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
• Facilitate ICT meetings, ensuring communication among providers, Service Coordinators, and Care Management Extenders.
• Proactively support transition of care efforts.
• Will work with autonomy but reach out when support is needed.
• 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 Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).

Requirements

• Active Illinois licensed LCSW, LMFT or LCPC (No supervisees or provisional licenses)
• 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
• 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
• Valid driver's license, car insurance, and reliable transportation

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
• many other opportunities