[Remote] Field Care Manager, Behavioral Health at Humana

Illinois, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must reside in Illinois and hold an active Illinois licensed LCSW, LMFT, or LCPC (no supervisees or provisional licenses). A minimum of 2 years of post-degree clinical experience in a behavioral health setting and case management experience with complex SMI, SUD, and SED populations are required. The role necessitates the ability to travel to regional facilities and homes for face-to-face assessments, possess exceptional oral and written communication and interpersonal skills, work with minimal supervision, demonstrate intermediate to advanced computer skills, and have a valid driver's license, car insurance, and reliable transportation.

Responsibilities

The Field Care Manager, Behavioral Health will perform face-to-face and telephonic assessments with members, serving as the primary point of contact for integrated care. Responsibilities include providing comprehensive, integrated support to members with behavioral health conditions, engaging members in their communities, completing required assessments, and coordinating behavioral health and medical services. The role involves improving member health literacy, addressing social needs, serving as the care team quarterback, facilitating meetings, supporting transitions of care, conducting regular face-to-face visits, and collaborating with internal departments, providers, and community organizations to ensure compliance with regulatory requirements.

Skills

Behavioral Health

Care Coordination

Crisis Intervention

Assessment

Health Literacy

Interdisciplinary Care Team

Telephonic Assessment

Face-to-face Assessment

Substance Use Disorders (SUD)

Serious Mental Illness (SMI)

Serious Emotional Disturbance (SED)

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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