Humana

Care Manager, Behavioral Health

Humana

full-time

Posted on:

Origin:  • 🇺🇸 United States • Illinois, Kentucky, Missouri, Ohio, Tennessee, Virginia, West Virginia

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Salary

💰 $59,300 - $80,900 per year

Job Level

Junior

About the role

  • Assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state
  • Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
  • Coordinate and collaborate with providers and community services to promote quality and cost-effective outcomes
  • Employ a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues by advocating, empowering and assisting the member in transforming their current state
  • Identify and resolve barriers and social determinants that hinder effective care and health outcomes
  • Ensure member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
  • May include creating member’s plan of care as well as influencing department strategy, decision making on cases and approaches for project components
  • Maintain knowledge of community health and social service agencies and additional community resources
  • Perform core duties at non-company locations including partner facilities and members' homes and attend face to face and collaborative meetings at Humana’s Louisville, KY location

Requirements

  • Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia
  • Must have one of the following: an active, unrestricted Licensed Masters Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage Family Therapist (LMFT) in the state of Kentucky or another independent professional state license with a minimum of 1 year of post-degree clinical experience in behavioral health
  • OR an active, unrestricted Kentucky Registered Nurse (RN) license with at least three years of experience in behavioral health
  • Intermediate or advanced proficiency using Microsoft Office Word, Excel, PowerPoint
  • Ability to navigate multiple systems and platforms and troubleshoot and resolve basic technical difficulties in a remote environment
  • Experience working with the KY Medicaid Population (preferred)
  • Experience working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients (preferred)
  • Managed Care Experience (preferred)
  • Case Management Certification (CCM) (preferred)
  • Experience with behavioral change, health promotion, coaching and wellness (preferred)
  • Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish (preferred)
  • Valid state driver's license and maintain personal vehicle liability insurance per residing state minimum required limits (required for driving program)
  • Willingness to travel up to 10% and up to 50 miles from residence
  • TB screening required (role is patient facing)
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