Behavioral Health Field Care Manager
Humana
Clinical Program Manager, Suicide Prevention
Mindoula
full-time
Posted on:
Origin: • 🇺🇸 United States • Louisiana
Visit company websiteSalary
💰 $60,000 - $75,000 per year
Job Level
Mid-LevelSenior
About the role
- Lead a team of Care Extenders to implement and enhance the SPP program and deliver outcomes to health plan partners.
- Act as a player/coach, working alongside Care Extenders to build skills and directly support members in challenging situations.
- Assess members for risk, make quick evaluations for risk, respond within safety plan parameters, and perform crisis intervention as necessary.
- Screen eligible and active members for behavioral health, medical, and social needs and assist Care Extenders to prioritize needs.
- Identify urgent safety needs and partner with Care Extenders and members to create and use safety plans during crisis.
- Create comprehensive service plans using screenings, conversations, data, and community resource knowledge.
- Guide members in developing skills and strategies for relapse prevention and reducing risk; encourage therapeutic and social activities.
- Educate members about mental or physical illness, abuse, violence prevention, medication, and available community and social resources.
- Monitor, evaluate, and record members’ progress according to measurable goals and build accountability communications for appointments.
- Interact with members, families, physicians, and other providers to lower over-utilization of unnecessary resources.
- Request consultation and diagnostic reports from network specialists and report critical incidents and quality-of-care issues.
- Develop and coordinate community resource guides emphasizing behavioral health, medical health, violence prevention, and social services.
- Lead Care Extender team to ensure appropriate service plans, coordinate caseloads, schedules, and enrollment activities.
- Participate in hiring, orientation, training, performance reviews, and continuously coach the team to meet KPIs.
- Perform documentation reviews, analyze team performance, collect and synthesize outcome data to support training and partner reporting.
- Lead internal case review sessions and participate in external case management meetings with health plan partners.
- Maintain program-related administrative data and partner with billing to review prepared claims.
Requirements
- A clinical licensure is required: Licensed Clinical Social Worker (LCSW); Clinical Professional Counselor (CPC) or Licensed Professional Counselor (LPC); Licensed Marriage and Family Therapist (LMFT); Licensed Psychologist (PhD or PsyD), or equivalent.
- Licensure in a state where the program is active (WA, IN, NV, TX, TN, or LA) is preferred; if license is in a different state, adding one of the program's active states will be required.
- 3-5 years experience managing a team, building and implementing programs, and delivering outcomes.
- Master's degree in behavioral health, social work or health care management from an accredited university required.
- Experience ensuring care is delivered according to applicable laws, regulations, policies and procedures and supporting organizational integrity efforts.
- Ability to develop, maintain, and strengthen relationships and partnerships with others inside or outside the organization.
- Track record of identifying needs and taking independent action to implement change; results oriented.
- Ability to plan, organize, manage time, and prioritize multiple tasks and assignments; effective follow through.
- Excellent listening, verbal and written communication skills.
- Ability to work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational effectiveness.
- Ability to provide case/care management in routine and crisis situations.
- Must work Pacific time zone hours: Monday-Friday 8am to 6pm Pacific.
