Field Care Manager, Behavioral Health RN

Louisiana, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess an active, unrestricted Louisiana Licensed Masters Clinical Social Worker (LCSW), Louisiana Licensed Professional Counselor (LPC), Louisiana Licensed Marriage Family Therapist (LMFT), Louisiana Licensed Addiction Counselor (LAC), or an active, unrestricted Louisiana Registered Nurse (RN) license with at least three years of behavioral health experience. A minimum of two years of experience as a behavioral health professional, experience with behavioral change, health promotion, coaching, and/or wellness, and proficiency with Microsoft Office Programs are required. Candidates must reside in Louisiana and have a valid driver's license with reliable transportation, meeting specific insurance requirements. Minimum internet speeds of 25 Mbps download and 10 Mbps upload are necessary for remote work.

Responsibilities

The Field Care Manager, Behavioral Health assesses and evaluates member needs to optimize wellness, guiding them towards appropriate resources. They employ various strategies to manage physical, environmental, and psychosocial health issues, identifying and resolving care barriers. Responsibilities include performing telephonic and face-to-face assessments, monitoring member progress, creating care plans, and collaborating with providers and community services to ensure quality, cost-effective outcomes. The role involves coordinating across transdisciplinary care teams, managing transitions of care, submitting incident reports, and ensuring the delivery of necessary behavioral health, physical health, social determinant of health, and value-added benefits.

Skills

Behavioral Health

Care Management

LCSW

LPC

Assessment

Care Planning

Collaboration

Case Management

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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