Become a part of our caring community and help us put health first
 

The Field Care Manager, Behavioral Health 2 assesses and evaluates member’s needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Care Management is an overall approach to managing enrollees’ care needs and encompasses a set of activities intended to improve patient care and reduce the need for medical services by enhancing coordination of care, eliminating duplication, and helping patients and caregivers more effectively manage health conditions.

The Behavioral Health Care Manager will perform telephonic or face to face assessments and evaluations of the member’s needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.   The Behavioral Health Care Manager will coordinate and collaborate with providers and community services to promote quality and cost effective outcomes.  The Behavioral Health Care Manager work assignments involving individuals identified by the Health Needs Assessment.

The Behavioral Health Care Manager 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.  The Behavioral Health Care Manager 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.  The Role may include creating member’s plan of care as well as influencing department strategy, decision making on cases and approaches for project components.  The Behavioral Health Care Manager will exercise considerable latitude in determining objectives and approaches to assignments. Knowledge of community health and social service agencies and additional community resources is a plus.

Use your skills to make an impact
 

Reqiured Qualifications

• Master’s degree in Social Work, Counseling, Social Services, Psychology or related field with an applicable unrestricted Kentucky State licensure in field of study: Licensed Masters Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage Family Therapist (LMFT), or other independent professional state license with a Minimum of 1 year of post-degree clinical experience in behavioral health setting

Or

• Unrestricted Kentucky licensed Registered Nurse (RN) with at least three years of experience in a behavioral-health field or setting.

And

• Intermediate or better 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.

Preferred Qualifications

• Experience working with the KY Medicaid Population 

• Experience working with bipolar disorder, schizophrenia and/or major depression patients

• Experience working with Serious Mental Illness and/or Substance Abuse Disorder (SUD) patients

• Manage 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

Workstyle: Hybrid remote work at home and field-based position

Location: Kentucky

Schedule: Must be available to work an 8-hour shift Monday through Friday 8:00-6:00 PM

Travel:

• This position will require a minimum of 25% travel up to 50 miles from where you reside

• Must have a Valid driver’s license with reliable transportation and the ability to travel within the state of Kentucky

• This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Work At Home Requirements 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 recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• 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

Screening Requirements

• This role is considered patient facing and is part of Humana Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

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Additional Information

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice 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.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities

#L1-Remote

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.

$57,700 – $79,500 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.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.