Pediatric Behavioral Health Nurse Care Manager
Included HealthFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
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.
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.
Health insurance provider for seniors and military
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.