Field Care Manager Behavioral Health Professional - Humana : Job Details

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.

This role requires 50-75%, about 3 days weekly travel to meet with Medicaid members in hospitals and acute settings.

The hours of this role are Mon-Fri, 8:30am - 5pm EST. No rotating weekend or holidays. Over-time as business needs.

The Field Care Manager, Behavioral Health 2 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. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Additional Duties:

This SW will primarily support the Utilization Management Team. SW will work closely with internal, nurse liaison to assist in discharge planning needs of members in acute and post-acute settings. SW will facilitate case conferences, as needed, with UM team, medical directors, members and providers. SW will assist in screening and planning for SDOH barriers to discharge plan. SW will meet with UM nurses weekly to discuss cases with length of stay 14 days or longer, complex cases and ad hoc cases that have identified social needs. SW will meet with members bedside in acute and post-acute settings to screen members and assist with SDOH resources. SW will assist members with initiating process for Medicaid Institutionalized care Program (ICP) and Home and Community based Services (HCBS) waiver application for Long Term Care. This role supports case management/utilization manager related to reducing Inpatient admits, readmits and ER visits.

Use your skills to make an impact

Required Qualifications?:

• Master's degree in SW or master's in social services related field

• Minimum 3 years clinical experience working in the hospital setting with case management and discharge planning

• Experience working with Medicaid Population

• Experience is addressing social determinants of health and closing social gaps in care

• Familiarity with additional treatment settings from hospital to include: Skilled nursing facility, Intermediate rehab facility and Long term acute-care hospital

• Intermediate to Advanced using MS Office Word, Excel, Outlook

• Excellent computer skills and ability to easily navigate multiple applications

Preferred Qualifications

• Bilingual in English/Spanish

• Managed care experience (Medicaid)

• LSW, LCSW

Additional Requirements / Adherence

Workstyle: Field

Locations: Hillsborough, Highland, Polk, Manatee, Hardee, Seminole, Orange, Brevard, Osceola

Schedule:

• 8:30 AM - 5:00 PM Eastern Time, Monday through Friday

• No weekend or holiday coverage

• Over-time as business needs

Travel: 50-75%, about 3 days weekly travel to meet with Medicaid members in hospitals and acute settings.

Additional Information

Social Security Alert

Humana values 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.

Modern Hire Interview

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.

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 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 business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits Day 1!

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Parental and caregiver leave

Employee charity matching program

Network Resource Groups (NRGs)

Career development opportunities

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.

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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 complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our