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

The Field Care Manager, ARTS assesses and evaluates 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.

POSITION RESPONSIBILITIES:

• Utilizes 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.
• Provides 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.
• Completes 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.
• Improves member’s health literacy while simultaneously addressing health related social needs to positively impact member’s healthcare outcomes and well-being.
• Serves as the quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
• Facilitates ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
• Engages 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 Medic

Use your skills to make an impact
 

REQUIRED QUALIFICATIONS

• Must reside in Virginia; This role will be regionally based in NOVA (Northern Virginia)
• Active LMHP License in the state of Virginia
• 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.
• 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.
• 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).

Additional Information

• Workstyle: This is a remote position that will require you to travel.
• Travel: Up to 25% of the time to Humana Healthy Horizons office in Glen Allen, VA 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 Eastern Standard Time