Field Care Manager, Behavioral Health

🔥 13 hours ago

🌴 South Carolina – Remote

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💵 $65k - $88.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Humana

Humana

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.

📋 Description

• Conduct telephonic and face-to-face assessments of enrollees’ behavioral, physical, environmental, and psychosocial needs • Use care management strategies to support optimal health and well-being • Develop individualized, person-centered care plans • Guide enrollees and families to clinical, community, and social resources • Collaborate with providers and community-based services to promote high-quality, cost-effective outcomes • Identify and resolve barriers to effective care • Monitor progress through ongoing assessments and evaluations • Adjust interventions to help enrollees achieve desired outcomes • Collaborate with the interdisciplinary care management team, including community health workers, housing support specialists, and care management support assistants • Determine when face-to-face support is appropriate and coordinate in-person meetings • Interpret complex information and independently determine appropriate courses of action • Support coordinated, holistic care reflecting enrollees’ goals, preferences, and well-being • Report to Manager, Care Management Behavioral Health

🎯 Requirements

• Must reside in South Carolina • Active Registered Nurse (RN) license, or a Licensed Master Level Social Worker license (LCSW, LMSW, LPC, LMFT or similar) • Minimum 1-year Behavioral Health clinical experience • 2 or more years of recent experience of case or care management • Experience working with Medicaid and/or Medicare enrollees to coordinate services, care needs, or benefits • Knowledge of community health and social service agencies and additional community resources • Comprehensive knowledge of Microsoft Office applications, including Word, Excel and PowerPoint • Dedicated workspace that protects member privacy and complies with PHI and HIPAA requirements • Ability to travel at least 50% locally for face-to-face meetings and field-based interactions • Periodic travel to Humana Columbia office for meetings and training • Ability to work Monday–Friday, 8:00 a.m.–5:00 p.m. • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Preferred: Experience working in Community Mental Health, crisis response, Assertive Community Treatment (ACT), and substance use disorder treatment • Preferred: Experience working with both children and adults

🏖️ Benefits

• 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 • Dedicated remote workspace arrangement • Remote work arrangement • Home internet requirements/support for remote work

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