Full Job Description
**Become a part of our caring community and help us put health
first**
The Field Care Manager, Behavioral Health performs
primarily face to face and telephonic assessments with members. The
Field Care Manager serves as the primary point of contact. providing
integrated care to ensure members receive timely, high-quality, and
coordination services that meet their unique needs. This position
employs a variety of strategies, approaches, and techniques to manage
a member's health issues and identifies and resolves barriers that
hinder effective care. Through a holistic, person-centered approach,
the BH Care Manager remains dedicated to enhancing behavioral health
outcomes, reducing care gaps, and supporting Virginia's Medicaid
population with comprehensive, integrated behavioral health care
management..
Position 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), and justice-involved members.
+ Engages 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).
+ Coordinates 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.
+ Serving as the quarterback of
the member's interdisciplinary care team (ICT), overseeing care
planning, transitions, and service delivery.
+ Facilitating ICT
meetings, ensuring seamless communication among providers, Service
Coordinators, and Care Management Extenders.
+ Engaging in biannual
and quarterly face-to-face visits, ensuring continuous monitoring and
proactive intervention.
+ Must be able to work with autonomy but
reach out when support is needed.
+ Collaborates 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.
+ Will
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).
**Use your skills
to make an impact**
**Required Qualifications**
+ Bachelor's
degree in social work, psychology or other health or human services
related field
+ Virginia licensed LMHP, LPC or LCSW **(No
supervisees or provisional licenses)**
+ 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 Virginia; This role will be regionally based in:**
**_Northern/Winchester, Southwest and Virginia Beach areas_**
+
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.
**Preferred Qualifications**
+ 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)
**Additional
Information**
+ **Workstyle:** This is a remote position that
will require you to travel.
+ **Travel:** Up to 25% of the time to
Humana Healthy Horizons office in Glen Allen, VA for collaboration and
face to face meetings as well as field interactions with staff,
providers, members, and their families.
+ **Workdays and Hours:**
Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).
+
**Language Assessment Statement:** Any Humana associate who speaks
with a member in a language other than English must take a language
proficiency assessment, provided by an outside vendor, to ensure
competency. Applicants will be required to take the Interagency
Language Rating (ILR) test as provided by the Federal
Government.
**WAH Internet Statement**
+ 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.
+ Satellite, cellular and
microwave connection can be used only if approved by leadership.
+
Humana will provide Home or Hybrid Home/Office employees with
telephone equipment appropriate to meet the business requirements for
their position/job.
+ Work from a dedicated space lacking ongoing
interruptions to protect member PHI / HIPAA
information.
**Interview Format**
As part of our hiring process
for this opportunity, we will be using an interviewing technology
called HireVue to enhance our hiring and decision-making ability.
HireVue allows us to quickly connect and gain valuable information
from you pertaining to your relevant skills and experience at a time
that is best for your schedule.
#EV
**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.
$59,300 - $80,900 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, volunteer time off, paid
parental and caregiver leave), short-term and long-term disability,
life insurance and many other opportunities.
**About Us**
Humana
Inc. (NYSE: HUM) is committed to putting health first - for our
teammates, our customers and our company. Through our Humana insurance
services and 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,
Medicaid, families, individuals, military service personnel, and
communities at large.
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**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.
Humana
complies with all applicable federal civil rights laws and does not
discriminate on the basis of race, color, national origin, age,
disability, sex, sexual orientation, gender identity or religion. We
also provide free language interpreter services. See our