Field Care Manager, Behavioral Health

The Care Coach Coordinator 2 employs a variety of strategies, approaches and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

The Care Coach Coordinator 2 assesses and evaluates member's needs and requirements in order to establish a member specific care plan and coordinates services.

• Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being by assessing their care needs.
• Plan and implement interventions to meet care needs.
• Coordinates services, monitors and evaluates the case management plan against the member's personal goals.
• Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member's care as appropriate and required by our comprehensive contract.
• Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings - 75-90% local travel.

Required Qualifications

• Applicants must reside in Cook or Will County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60401, 60403, 60404, 60408, 60410, 60417, 60421, 60423, 60431, 60432, 60433, 60434, 60435, 60436, 60439, 60440, 60441, 60442, 60446, 60448, 60449, 60451, 60468, 60481, 60484, 60490, 60491, 60503, 60544, 60564, 60583, 60585, 60586
• Active Illinois license in LCSW, LMFT or LCPC (No supervises or provisional licenses)
• 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.
• 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)
• 3+ years of in-home assessment or 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

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…