Field Care Management Behavioral Health - Field/Remote LA
About the role
Position Responsibilities
The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health) employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care.
- Perform telephonic and face to face assessments and evaluations of the member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.
- Ensure member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
- Create member care plans. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
- Collaborate with providers and community services to promote quality and cost-effective outcomes.
- Ensure the delivery of needed services/supports for Behavioral Health, Physical Health, Social Determinant of Health and value-added benefits.
- Coordinate across the transdisciplinary care team (at a minimum the PCP) and transitions of care
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Submits incident reports
Use your skills to make an impact
Required Qualifications
- Must reside in Louisiana Region 7 (Bienville, Bossier, Caddo, Claiborne, DeSoto, Natchitoches, Red River, Sabine, Webster)
- LCSW, LPC, LAC, LMFT or RN with minimum of 2 years of experience in psych.
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Bilingual a plus
Additional Information
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH's Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics ( la.gov )
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
Pay Range
Description of Benefits
Equal Opportunity Employer
Not included in the source posting: about the role.
Who can apply
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