Field Care Manager

Profile

Description

Responsibilities

The Medicaid Field Care Manager-Behavioral Health will perform telephonic and/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 Field Care Manager will coordinate and collaborate with providers and community services to promote quality and cost effective outcomes. The Medicaid Field Care Manager Behavioral Health works assignments involving individuals identified by the Health Needs Assessment.

The Medicaid Field Care Manager-Behavioral Health 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 Medicaid Field Care Manager Behavioral Health 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 position may include creating member's plan of care as well as influencing department strategy, decision making on cases and approaches for project components. The position 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.

Required Qualifications

Master's degree in Social Work, Counseling, Social Services, Psychology or related field

Applicable State licensure in field of study: Licensed Masters Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage Family Therapist (LMFT), Registered Nurse (RN), or other independent professional state license

Health professionals with a degree in nursing must have at least three years of experience in a behavioral-health field or setting.

Minimum of 1 year of post-degree clinical experience in behavioral health setting

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.

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 100/300/100 limits

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) is required.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Comprehensive knowledge of Microsoft Office Suite to include Word, Excel and PowerPoint

Strong written and verbal communication skills

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 patients and/or Adult Guardianship

Manage Care Experience

Case Management Certification (CCM)

Prior Field Case Management Experience

Experience with behavioral change, health promotion, coaching and wellness

Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish

Additional Information

Work Location : Preferably in Eastern Kentucky (Pikeville, Hazard areas) or Western Kentucky (Owensboro, Bowling Green areas)

Work Style : Work at Home (State of Kentucky)

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Text to enhance our hiring and decision-making ability. Modern Hire Text 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 to move forward from your application prescreen, you will receive correspondence inviting you to participate in an on-demand Text Messaging interview. For this on-demand text interview, you will be asked a series of questions to which you will be using your computer or cell phone 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.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com