
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
🔥 0 minutes ago
🌽 Illinois – Remote
💵 $71.5k - $97.5k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
🦅 H1B Visa Sponsor
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
• Perform primarily face-to-face and telephonic behavioral health assessments with members • Serve as the primary point of contact and provide integrated, timely, high-quality care coordination • Manage member health issues and identify and resolve barriers to effective care • Provide personalized care coordination, crisis intervention, peer support, and collaboration with medical and behavioral health providers • Support members with SMI, SED, SUD, and justice-involved populations across children, adolescents, and adults • Engage members in their communities and conduct face-to-face visits • Complete required assessments, including the Comprehensive Risk Assessment (HRA) • Coordinate behavioral health and medical services, provider engagement, and treatment-plan adherence • Improve member health literacy and address health-related social needs • Serve as the member's interdisciplinary care team, overseeing care planning, transitions, and service delivery • Facilitate interdisciplinary care team meetings and communication among providers, Service Coordinators, and Care Management Extenders • Support transitions of care • Conduct biannual and quarterly face-to-face visits for monitoring and intervention • Collaborate with internal departments, providers, and community-based organizations • Follow processes and procedures to comply with IDHS, CMS, and NCQA requirements • Perform other duties as assigned
• Must reside in Cook, DuPage, DeKalb, or Kane County, Illinois • Active Illinois licensed LCSW, LMFT, or LCPC; no supervisees or provisional licenses • Minimum of 2 years of post-degree clinical experience in a behavioral health setting • Case management experience with complex SMI, SUD, and SED populations • Ability to travel to region-based facilities and homes for face-to-face assessments • Valid driver's license, car insurance, and reliable transportation • Ability to work with autonomy and seek support when needed • Must comply with IDHS, CMS, and NCQA regulatory requirements • Up to 75% travel for collaboration, face-to-face meetings, and field interactions • Monday–Friday, 8:00 a.m.–5:00 p.m. Central Standard Time • Must complete TB screening if selected • Must maintain personal vehicle liability insurance meeting state minimums or specified higher limits • Home internet with at least 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information • Preferred: CCM certification • Preferred: 3+ years of in-home assessment and care coordination experience • Preferred: experience with Medicare, Medicaid, and dual-eligible populations • Preferred: field case management experience • Preferred: knowledge of community health and social service agencies and community resources • Preferred: previous managed care experience • Preferred: bilingual ability
• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • TB screening program • Self-provided internet service requirements and dedicated workspace support for home work
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