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

Humana Healthy Horizons in Kentucky is seeking a Field Care Manager, Behavioral Health 2 who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Care Management is an overall approach to managing enrollees’ care needs and encompasses a set of activities intended to improve patient care and reduce the need for medical services by enhancing coordination of care, eliminating duplication, and helping patients and caregivers more effectively manage health conditions.

Role Responsibilities

• Coordinates and collaborates with providers and community services to promote quality and cost-effective outcomes. 
• Works assignments involving individuals identified by the Health Needs Assessment.
• Employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues by advocating, empowering and assisting the member in transforming their current state. 
• Identifies and resolves barriers and social determinants that hinder effective care and health outcomes.
• Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. 
• May include creating member’s plan of care as well as influencing department strategy, decision making on cases and approaches for project components. 
• Exercises considerable latitude in determining objectives and approaches to assignments
• Maintains knowledge of community health and social service agencies and additional community resources

Use your skills to make an impact
 

Required Qualifications

• Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia.

Must have one of the following:

• An active, unrestricted Licensed Masters Clinical Social Worker (LCSW)
• Licensed Professional Clinical Counselor (LPCC)
• Licensed Marriage Family Therapist (LMFT) in the state of Kentucky
• or other an independent professional state license with a minimum of 1 year of post-degree clinical experience in behavioral health
• active, unrestricted Kentucky Registered Nurse (RN) license with at least three years of experience in behavioral health.

• Intermediate or advanced proficiency using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.

Preferred Qualifications

• Experience working with the KY Medicaid Population
• Experience working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients
• Managed Care Experience
• Case Management Certification (CCM)
• Experience with behavioral change, health promotion, coaching and wellness
• Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish

• Workstyle & Travel: This is a remote position that requires you to travel up to 10% up to 50 miles from where you reside. Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. Travel also includes attending face to face and collaborative meetings at Humana’s Louisville, KY location.

Additional Information

Driving Statement

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 /$10,000 for property damage or whichever is higher. TB StatementThis 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.WAH Internet Statement
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: