Humana

Behavioral Health Field Care Manager

Louisiana, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

About the Role

Employment Type: Full time

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.

Position Responsibilities

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.

  • Performs telephonic and 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.
  • Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
  • Creates member care plans.
  • Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
  • Collaborates with providers and community services to promote quality and cost-effective outcomes.
  • Ensures the delivery of needed services/supports for Behavioral Health, Physical Health, Social Determinant of Health and value-added benefits.
  • Coordinates across the transdisciplinary care team (at a minimum the PCP) and transitions of care.
  • Submits incident reports.

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 of the following:

  • 2+ years or more of experience working as a behavioral health professional.
  • Experience with behavioral change, health promotion, coaching and/or wellness.
  • Proficiency with Microsoft Office Programs, e.g. Word, Excel & PowerPoint, shared systems, troubleshoot and resolve general technical issues.
  • Must reside and perform work in the state of Louisiana.

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

Travel

  • 2 positions are open - One to cover Region 4 & 6 and the other to cover Region 7.
  • Could be up to 75% in Region’s 4, 6 & 7 in the state of Louisiana.
  • This position will require a minimum of 75% travel in the State of Louisiana in your assigned territory.
  • Must have a Valid driver’s license with reliable transportation and the ability to travel within the state, as required.
  • 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 100,000/300,000/100,000 limits.

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

Skills

Behavioral Health
Care Management
Assessment
Evaluation
Social Work
Counseling
LCSW
LPC

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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