Become a part of our caring community and help us put health first
 

The ARTS Care Manager (Field Care Manager )performs primarily face to face and telephonic assessments with members with substance use disorders (SUD). The ARTS 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 ARTS Care Manager remains dedicated to enhancing behavioral health outcomes, increasing resiliency and recovery, reducing care gaps, and supporting Virginia’s Medicaid population with comprehensive, integrated substance use care management.

Utilize high-quality, evidence-based substance use services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical, behavioral health, and ARTS providers.

• Provide comprehensive, integrated support to members experiencing substance use and possible co-occurring conditions, including children, adolescents, adults, 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 (CHRA).
• Coordinates behavioral health, substance use, 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.
• 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 Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).

Use your skills to make an impact
 

Required Qualifications

• Virginia licensed RN

• Minimum of 1 year of experience working directly with individuals with substance use disorder (SUD)

• Case management experience providing care transitions for ASAM levels of care and overall structured care management for members receiving VA Addiction and recovery services

• Must reside in Virginia; This role will be regionally based in Tidewater

• 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)

• Experience working with Medicare, Medicaid and dual-eligible populations

• Field Case Management Experience

• Experience working with pregnant and post-partum population with SUD, including Substance Exposed Infants

• Knowledge of community health and social service agencies and additional community resources

• Knowledge of ASAM levels of care

• Managed Care Experience.

• Bilingual preferred (Spanish, Arabic, Vietnamese or other)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The com