Job Description

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

 

Humana Healthy Horizons in Kentucky is seeking a Field Care Manager, Behavioral Health 2 who will assess and evaluate 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.

Role Responsibilities

• Coordinates and collaborates with providers and community services to promote quality and cost-effective outcomes. 
• Works assignments involving individuals identified by the Health Needs Assessment.
• 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. 
• 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. 
• May include creating member’s plan of care as well as influencing department strategy, decision making on cases and approaches for project components. 
• Exercises considerable latitude in determining objectives and approaches to assignments. Maintains knowledge of community health and social service agencies and additional community resources is a plus.

Use your skills to make an impact

 

Required Qualifications

Field Care Manager, Behavioral Health must meet one of the following:

• An active, unrestricted KY Licensed Masters Clinical Social Worker (LCSW), OR
• KY Licensed Professional Clinical Counselor (LPCC) OR
• KY Licensed Marriage Family Therapist (LMFT) OR
• Other independent professional KY state license with a minimum of 1 year of post-degree clinical experience in behavioral health OR
• Active, unrestricted Kentucky Registered Nurse (RN) license with at least three years of experience in behavioral health.

Field Care Manager, Behavioral Health must meet all the following:

• Intermediate or advance 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.
• Experience working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients.
• Experience with behavioral change, health promotion, coaching and wellness.
• Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Tennessee or Virginia.

Preferred Qualifications

• Experience working with the KY Medicaid Population. 
• Managed Care Experience.
• Case Management Certification (CCM).
• Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish.

Additional Information

• Workstyle & Travel: This is a remote position that requires you to travel up to 10% up to 50 miles from where you reside. Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. Travel also includes attending face to face and collaborative meetings at Humana’s Louisville, KY location.

• Driver's License, Reliable Transportation, Insurance This role is part of Humana's Driver safety program and therefore requires an individual to have:

• a valid state driver's license,
• proof of personal vehicle liability insurance with at least 100/300/100 limits,
• and a reliable vehicle.
• Schedule: Must be available to work an 8-hour shift Monday through Friday between hours of 8:00 - 6:00 PM (EST). Leadership will discuss scheduling in interview.
• Language Assessment: Any Humana employee 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.
• Tuberculosis (TB) screening : This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Work from 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 required
• 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.

Additional Information:

Interview Format

 As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed)

The SMS Text interview, will ask you a series of questions to which you will be using your Cell phone OR Email to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Social Security Number Statement

Humana value's 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 [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

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.

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 veteran status . 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.

Job Tags

Weekly pay, Holiday work, Full time, Temporary work, Apprenticeship, Remote job, Home office, Shift work, Monday to Friday,

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