• Job Description

  Req#: R-405076

  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.

  The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health) employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. In this role you will report to the Manager of Care Management and be part of the Medicaid Care Management Team.

  In this role you will:

  • Conducts telephonic and in-person assessments to evaluate members’ needs, guiding members and their families toward appropriate resources to support optimal wellness.

  • Continuously monitors member progress through ongoing assessments and evaluations to ensure achievement of desired health outcomes.

  • Develops individualized care plans based on comprehensive assessments, aligning with departmental and organizational strategies.

  • Collaborates with healthcare providers and community resources to facilitate quality, cost-effective care and support.

  • Ensures members receive necessary services and supports across Behavioral Health, Physical Health, Social Determinants of Health, and value-added benefits.

  • Coordinates with the transdisciplinary care team, including at minimum the Primary Care Provider (PCP), to manage transitions of care.

  • Documents and submits incident reports as required.

  
  Use your skills to make an impact
  

  Required Qualifications

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

  • An active, unrestricted LA Licensed Masters Clinical Social Worker (LCSW), OR

  • LA Licensed Professional Counselor (LPC) OR

  • LA Licensed Marriage Family Therapist (LMFT) OR

  • LA Licensed Addiction Counselor (LAC) OR

  • Active, unrestricted Louisiana Registered Nurse (RN) license with at least three years of experience in behavioral health.

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

  • 2+ years or more of experience working as a behavioral health professional

  • Experience with behavioral change, health promotion, coaching and/or wellness

  • Proficient in using electronic information systems and Microsoft Office tools (Word, Outlook, Excel) to document, communicate, and collaborate effectively with internal partners and members.

  • Demonstrates strong keyboard and web navigation skills, provides clear narrative documentation, and builds rapport through exceptional communication and interpersonal abilities.

  • Must reside and perform work in the state of Louisiana and willing to travel to see members up to 75% of the time

  Preferred Qualifications

  • Experience supporting patients telephonically

  • Experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team, and substance use disorder treatment

  • Experience working with both children and adults

  • Bilingual Language in both English and Spanish or Creole

  Bilingual (English/Spanish) - Bilingual Language in both English and Spanish or Creole– Language Proficiency Assessment will be performed to test fluency in reading, writing and speaking in both languages.

  Workstyle: Combination remote work at home and onsite/home member visits

  Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs and requires approval.

  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.

  Travel, Driver's License, Transportation, Insurance: Must be willing to travel at least 75% of the time within a 30-40 mile radius of your assigened Region , to conduct field visits with members in your assigned area. Travel requirements may vary based on member tier level.

  This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.

  Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

  Mileage reimbursement is provided for work-related travel. Eligible mileage includes:

  • Travel from your home to your first work location of the day.

  • Travel between client or assignment locations during the workday.

  • Travel from your final work location back to your home.

  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 required; 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

  *Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)

  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.

  Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

  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.

  
  

  $65,000 - $88,600 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 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.

• About the company

  Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

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