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Field Care Manager, Behavioral Health (RN, LCSW, CSW, LSW, LPC)

Work at Home - Ohio

Become a part of our caring community and help us put health first
 Humana Health Horizons in Ohio is seeking Field Care Managers, 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.

You will be part of a caring community at Humana.
When you meet us, you can tell we started as a hometown company. We’re proud of our Louisville roots and, as we’ve grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you’re working from home, from the field, from our offices, or from somewhere in between—you’ll feel welcome here. We’re a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It’s up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Are you Caring, Curious and Committed? If so, apply today!

The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Additional responsibilities for the BH CM are further defined by these two separate roles:

 

The BH CM must perform the full scope of care coordination activities and responsibilities for members who need care coordination and are not assigned to a Care Coordination Entity, the OhioRISE Plan, and/or a Care Management Entity, or who choose to receive their care management from the MCO. The BH CM would serve as the single point of contact for care coordination.  

Or

 

The BH CM Plus must ensure the completion of the full scope of care coordination activities and responsibilities for members who need care coordination and are assigned to a Care Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager Plus serves as the single point of contact for care coordination.

  • Ensuring the member receives the full scope of care coordination services, including comprehensive assessment completion (inclusive of the HRA), person-centered care plan completion, ensuring no duplication with the CCEs (Ohio RISE Plan, and/or CME), and identifying and addressing ongoing needs.
  • Providing actionable …
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Job Profile

Regions

North America

Countries

United States

Restrictions

California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota Workstyle

Benefits/Perks

Bonus Incentive Bonus incentive plan Career growth opportunities Caring community Coaching Competitive benefits Dental Holidays Inclusive community Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Remote position Remote work Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home Work-life balance

Tasks
  • Assess member needs
  • Coaching
  • Collaborate with providers
  • Coordinate care
  • Create care plans
  • Facilitate interaction with resources
  • Interpretation
  • Monitor progress
  • Training
Skills

Assessment Assessments Behavioral health BI Bilingual Business C Care Coordination Care management Care Planning Case Management Clinical Clinical Experience Coaching Community Resources Compensation Computer Data Data Integration Healthcare Health Plan Experience Health promotion HIPAA Insurance Leadership Management Medicaid Medicare Monitoring Organizational Recruitment Security Strategy Teams Technology Training Wellness

Experience

2 years

Education

Associates Business DO Education Healthcare Higher LCSW LPC Management Registered Nurse RN

Certifications

CCM Registered Nurse RN

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9