Field Care Manager, Behavioral Health
HumanaAbout the role
Become a part of our caring community and help us put health first
The Field Care Manager, Behavioral Health performs primarily face to face and telephonic assessments with members. The Field Care Manager serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs. This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care. Through a holistic, person-centered approach, the Field Care Manager BH remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and supporting Illinois’ FIDE population with comprehensive, integrated behavioral health care management...Position Responsibilities:
Utilize high-quality, evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical and behavioral health providers.
Provide comprehensive, integrated support to members experiencing behavioral health conditions, including children, adolescents, adults with serious mental illness (SMI) and serious emotional disturbance (SED), Substance Use Disorders (SUD) and justice-involved members.
Engages members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination.
Complete all required assessments, including the Comprehensive Risk Assessment (HRA).
Coordinates behavioral health and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
Improve member’s health literacy while simultaneously addressing health related social needs to positively impact member’s healthcare outcomes and well-being.
Serving as the quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
Facilitating ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
Proactively support transition of care efforts
Engaging in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
Must be able to work with autonomy but reach out when support is needed.
Collaborates with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members’ preferences and needs.
Will follow processes, and procedures to ensure compliance with regulatory requirements by the Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).
Other job duties as assigned
Use your skills to make an impact
Required Qualifications
Must reside in Illinois; This role will be regionally based in: Marion, Illinois; DeKalb Illinois; and McHenry County areas
Active Illinois licensed LCSW, LMFT or LCPC (No supervisees or provisional licenses)
Minimum of 2 years of post-degree clinical experience in behavioral health setting
Case management experience working with complex SMI, SUD, SED population
Ability to travel to region-based facilities and homes for face-to-face assessments.
Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Ability to use a variety of electronic information applications/software programs including electronic medical records
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Ability to work a full-time schedule
Valid driver's license, car insurance, and reliable transportation.
Preferred Qualifications
Case Management Certification (CCM)
3-5 years of in-home assessment and care coordination experience
Experience working with Medicare, Medicaid and dual-eligible populations
Field Case Management Experience
Knowledge of community health and social service agencies and additional commu
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