Humana

Field Care Manager, Behavioral Health

Humana  •  $65k - $89k/yr  •  Wisconsin (Remote)  •  1 day ago
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Job Description

Become a part of our caring community

Join Humana as a Field Care Manager, Behavioral Health supporting the WI Medicaid market. As a Field CM BH, you will assess and evaluate members' needs to support optimal health and wellness. In addition, you will guide members and their families in accessing appropriate behavioral health and community resources and facilitate care coordination and engagement across the continuum. You will also work to close HEDIS measure gaps through proactive outreach, education, and coordination with providers and members to improve quality outcomes and ensure compliance with care standards.

  • Perform all responsibilities according to the DHS contract for Medicaid Managed Care Organizations, specifically regarding the Wisconsin Interdisciplinary Care Team (WICT).
  • Identify the appropriate treatment needs, level of service and referral sources for members with medical, psychiatric, and substance abuse diagnoses and facilitate their implementation.
  • Conduct visits in the community to complete monthly face-to-face requirements, including health risk assessments, with identified members and help develop care plans appropriate to the identified treatment goals.
  • Coordinate necessary services with ancillary providers and community agencies to ensure member stabilization within the community.
  • Meet weekly with the iCare interdisciplinary team to collaborate and provide updates on the entire WICT caseload.
  • Contribute to the development of department strategy and refinement of programs, policies, procedures, and quality improvement (QI) projects.
  • Serve as a consultative resource for other care management staff.
  • Educate members on preventive health guidelines and programs including HEDIS gap closures.
  • Lead special projects.


Use your skills to make an impact

Required Qualifications

  • Master's degree.
  • Applicable WI State licensure as a Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC).
  • 2 years of case management experience.

Preferred Qualifications

  • Bilingual in English/Spanish.
  • Previous experience working in a Managed Care Organization.
  • Previous experience with Medicare & Medicaid recipients.

Additional Information

  • Work Location: must reside in Wisconsin in the Milwaukee or Madison metro areas.
  • Travel: 25 - 50% of the time to see members in the community.
  • Typical Workdays/Hours: Monday - Friday, 8:30am - 5pm CST.

Driving

You will be part of Humana's driver safety program and therefore requires you to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

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.

TB

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.

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees', 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 suggested.
  • 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 requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

HireVue

As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.


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.

Humana

About Humana

Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request

At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Industry
Finance & Insurance
Company Size
10,000+ employees
Headquarters
Louisville, Kentucky
Year Founded
Unknown
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