20 days old

Medicaid Field Care Manager; Behavioral Health

Humana
Louisville, KY 40290
Description The Medicaid Field Care Manager, Behavioral Health 2 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 Medicaid Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Responsibilities 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. The Medicaid Field Care Manager Behavioral Health will perform telephonic or face to face assessments and evaluations of the members needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member. The Behavioral Health Care Manager will coordinate and collaborate with providers and community services to promote quality and cost effective outcomes. The Medicaid Field Care Manager Behavioral Health work assignments involving individuals identified by the Health Needs Assessment. The Medicaid Field Care Manager Behavioral Health 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. The Medicaid Field Care Manager Behavioral Health identifies and resolves barriers and social determinants that hinder effective care and health outcomes. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. The Role may include creating members plan of care as well as influencing department strategy, decision making on cases and approaches for project components. The Medicaid Field Care Manager Behavioral Health will exercise considerable latitude in determining objectives and approaches to assignments. Knowledge of community health and social service agencies and additional community resources is a plus. Required Qualifications + Bachelor's degree + Applicable State licensure in field of study: Licensed Masters Clinical Social Worker (LCSW), Clinical Social Worker (CSW, Licensed Professional Counselor (LPC) Registered Nurse (RN) Licensed Marriage Family Therapist (LMFT) or other professional license + Health professionals with a degree in nursing must have at least three years practice experience in a behavioral-health field or setting. + Minimum of 1 year of post-degree clinical experience in behavioral health setting + This role is considered patient facing and is part of Humana/Senior Bridge'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 proof of personal vehicle liability insurance with at least 100/300/100 limits + Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications + Masters Degree with Corresponding Masters Prepared Licensure + Experience with working with KY Medicaid Population + Manage Care Experience + Minimum of 1 year of post-degree clinical experience in behavioral health setting + Case Management Certification (CCM) + Field Case Management Experience + Experience with behavioral change, health promotion, coaching and wellness + Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish Additional Information * Medicaid Field Care Manager Behavioral Health (Field Care Manager, Behavioral Health 2) As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. <>

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Posted: 2019-10-02 Expires: 2019-11-01

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Medicaid Field Care Manager; Behavioral Health

Humana
Louisville, KY 40290

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