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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.
• Serve as 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

• Applicants must reside in Cook, DuPage, DeKalb, or Kane County IL.
• 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.
• Valid driver's license, car insurance, and reliable transportation.

Preferred Qualifications

• Case Management Certification (CCM)
• 3+ 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 community resources
• Previous managed care experience
• Bilingual

Additional Information

• Workstyle: This is a remote position that will require you to travel.
• Travel: Up to 75% of the time for collaboration and face to face meetings as well as field interactions with staff, providers, members, and their families.
• Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Central Standard Time (CST).

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.

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /