Field Care Manager, Behavioral Health

$65,000 - $88,600 / year

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

The 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 Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health) employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. In this role you will report to the Manager of Care Managementand be part of the Medicaid Care Management Team.

In this role you will:

•Conducts telephonic and in-person assessments to evaluate members’ needs, guiding members and their families toward appropriate resources to support optimal wellness.

•Continuously monitors member progress through ongoing assessments and evaluations to ensure achievement of desired health outcomes.

•Develops individualized care plans based on comprehensive assessments, aligning with departmental and organizational strategies.

•Collaborates with healthcare providers and community resources to facilitate quality, cost-effective care and support.

•Ensures members receive necessary services and supports across Behavioral Health, Physical Health, Social Determinants of Health, and value-added benefits.

•Coordinates with the transdisciplinary care team, including at minimum the Primary Care Provider (PCP), to manage transitions of care.

•Documents and submits incident reports as required.

Use your skills to make an impact

Required Qualifications

Field Care Manager, Behavioral Health must meet one of the following:

•An active, unrestricted LA Licensed Masters Clinical Social Worker (LCSW), OR

•LA Licensed Professional Counselor (LPC) OR

•LA Licensed Marriage Family Therapist (LMFT) OR

•LA Licensed Addiction Counselor (LAC) OR

•Active, unrestricted Louisiana Registered Nurse (RN) license with at least three years of experience in behavioral health.

Field Care Manager, Behavioral Health must meet all the following:

•2+ years or more of experience working as a behavioral health professional

•Experience with behavioral change, health promotion, coaching and/or wellness

•Proficient in using electronic information systems and Microsoft Office tools (Word, Outlook, Excel) to document, communicate, and collaborate effectively with internal partners and members.

•Demonstrates strong keyboard and web navigation skills, provides clear narrative documentation, and builds rapport through exceptional communication and interpersonal abilities.

•Must reside and perform work in the state of Louisiana and willing to travel to see members up to 75% of the time

Preferred Qualifications

•Experience supporting patients telephonically

•Experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team, and substance use disorder treatment

•Experience working with both children and adults

•Bilingual Language in both English and Spanish or Creole

Bilingual (English/Spanish) - Bilingual Language in both English and Spanish or Creole– Language Proficiency Assessment will be performed to test fluency in reading, writing and speaking in both languages.

Workstyle: Combination remote work at home and onsite/home member visits

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs and requires approval.

Screening: 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.

Travel, Driver's License, Transportation, Insurance: Must be willing to travel at least 75% of the time within a 30-40 mile radius of your assigened Region, to conduct field visits with members in your assigned area. Travel requirements may vary based on member tier level.

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.

Mileage reimbursement is provided for work-related travel. Eligible mileage includes:

•Travel from your home to your first work location of the day.

•Travel between client or assignment locations during the workday.

•Travel from your final work location back to your home.

Work At Home Requirements

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:

•At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required.

•Satellite, cellular and microwave connection can be used only if approved by leadership.

•Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

•Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

•Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Additional Information

*Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Demonstrates an understanding of and proficiency with the application of all compliance and reporting requirements respective to Joint Commission Certification (JCC) standards, confidentiality, values policies, and standards. Adheres to El Rio Health organizational and department specific policies, procedures, confidentiality, ongoing quality improvement objectives, confidentiality, values, safety, environmental and infection control standards. Promptly reports any safety concerns or incidents through the appropriate channels. Complies with terms of all payor contracts and any other legal requirements concerning discrimination, access to care and the standard of care. Minimum Education and Experience: Master’s or Doctorate’s degree from an accredited Advanced Practice Nursing Program. If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job. Required Licenses, Certifications, and Registrations: Active and unencumbered Advanced Practice Registered Nurse (APRN) Licensure in the state of Arizona. Active Board Certification as a Nurse Practitioner in specialty area of Psychiatry. Active DEA license or ability to apply for such license prior to or upon hire. Current provider card in Basic Life Support (BLS) and advanced life support certifications if relevant to the practice area or facility; (Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP). Level I fingerprint clearance card: current valid and in good standing or have applied for it within seven working days after beginning employment. Employees in this position are required to have reliable transportation that can meet any operational reassignments of the organization during the workday. If an employee is driving during work hours, the employee is required to possess a valid driver’s license and must comply with Arizona vehicle insurance requirements. Must successfully complete training and certifications required by partnering hospital. Preferred Education, Experience, Skills, Abilities: Doctorate’s degree from an accredited Advanced Practice Nursing Program. One (1) or more years of experience as an Advanced Practice Provider in an acute, outpatient or ancillary healthcare environment. Clinical experience working in a Community Health Center Environment Bilingual (English/Spanish) with the ability to speak, read and write in both languages. Reasonable accommodations may be made to enable individuals with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for sincerely held religious beliefs, observances, and practices to perform the essential functions of the job. El Rio Health does not discriminate based on race, color, religion, sex (including pregnancy, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors. El Rio Health requires all AZ employees to have a Level One Fingerprint Clearance card. A.R.S. 36.425.03. New hires and transfers must submit their fingerprint clearance card or fingerprint receipt before their hire date or transfer date. Level One (1) Non-IVP Fingerprint Clearance card must be received within 30 days after the new employee hire date or transfer date. All employees are strongly recommended to obtain and maintain vaccination status (i.e., as recommended by CDC and/or other public health agencies) to include an Influenza vaccination. Subject to exemptions and accommodations when required by law. (Policy: Adm-016 & Adm-045). All employees are required to undergo drug testing prior to employment and will be subject to post-accident, reasonable suspicion, return to duty and follow up drug and alcohol testing in compliance with Federal and State regulations for alcohol and controlled substance testing. Employees in positions holding responsibility for the safety and welfare of others will also be classified as safety sensitive. El Rio Health is a non-profit 501(c)(3) Federally Qualified Health Center (FQHC) and abides by all applicable federal Drug-Free Workplace standards. El Rio Health is an equal opportunity employer. Minimum Education and Experience: Master’s or Doctorate’s degree from an accredited Advanced Practice Nursing Program. If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job. Required Licenses, Certifications, and Registrations: Active and unencumbered Advanced Practice Registered Nurse (APRN) Licensure in the state of Arizona. Active Board Certification as a Nurse Practitioner in specialty area as applicable. Active DEA license or ability to apply for such license prior to or upon hire. Level I fingerprint clearance card: current valid and in good standing or have applied for it within seven working days after beginning employment. Current provider card in Basic Life Support (BLS) and advanced life support certifications if relevant to the practice area or facility. Employees in this position are required to have reliable transportation that can meet any operational reassignments of the organization during the workday. If an employee is driving during work hours, the employee is required to possess a valid driver’s license and must comply with Arizona vehicle insurance requirements. Preferred Education, Experience, Skills, Abilities: Doctorate’s degree from an accredited Advanced Practice Nursing Program. One (1) or more years of experience as an Advanced Practice Provider in an acute, outpatient or ancillary healthcare environment. Clinical experience working in a Community Health Center Environment. Bilingual (English/Spanish) with the ability to speak, read and write in both languages Reasonable accommodations may be made to enable individuals with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for sincerely held religious beliefs, observances, and practices to perform the essential functions of the job. El Rio Health does not discriminate based on race, color, religion, sex (including pregnancy, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors. El Rio Health requires all AZ employees to have a Level One Fingerprint Clearance card. A.R.S. 36.425.03. New hires and transfers must submit their fingerprint clearance card or fingerprint receipt before their hire date or transfer date. Level One (1) Non-IVP Fingerprint Clearance card must be received within 30 days after the new employee hire date or transfer date. All employees are strongly recommended to obtain and maintain vaccination status (i.e., as recommended by CDC and/or other public health agencies) to include an Influenza vaccination. Subject to exemptions and accommodations when required by law. (Policy: Adm-016 & Adm-045). All employees are required to undergo drug testing prior to employment and will be subject to post-accident, reasonable suspicion, return to duty and follow up drug and alcohol testing in compliance with Federal and State regulations for alcohol and controlled substance testing. Employees in positions holding responsibility for the safety and welfare of others will also be classified as safety sensitive. El Rio Health is a non-profit 501(c)(3) Federally Qualified Health Center (FQHC) and abides by all applicable federal Drug-Free Workplace standards. El Rio Health is an equal opportunity employer. Minimum Education and Experience: Master’s or Doctorate’s degree from an accredited Advanced Practice Nursing Program. If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job. Required Licenses, Certifications, and Registrations: Active and unencumbered Advanced Practice Registered Nurse (APRN) Licensure in the state of Arizona. Active Board Certification as a Nurse Practitioner in specialty area as applicable. Active DEA license or ability to apply for such license prior to or upon hire. Level I fingerprint clearance card: current valid and in good standing or have applied for it within seven working days after beginning employment. Current provider card in Basic Life Support (BLS) and advanced life support certifications if relevant to the practice area or facility. Employees in this position are required to have reliable transportation that can meet any operational reassignments of the organization during the workday. If an employee is driving during work hours, the employee is required to possess a valid driver’s license and must comply with Arizona vehicle insurance requirements. Preferred Education, Experience, Skills, Abilities: Doctorate’s degree from an accredited Advanced Practice Nursing Program. One (1) or more years of experience as an Advanced Practice Provider in an acute, outpatient or ancillary healthcare environment. Clinical experience working in a Community Health Center Environment. Bilingual (English/Spanish) with the ability to speak, read and write in both languages Reasonable accommodations may be made to enable individuals with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for sincerely held religious beliefs, observances, and practices to perform the essential functions of the job. El Rio Health does not discriminate based on race, color, religion, sex (including pregnancy, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors. El Rio Health requires all AZ employees to have a Level One Fingerprint Clearance card. A.R.S. 36.425.03. New hires and transfers must submit their fingerprint clearance card or fingerprint receipt before their hire date or transfer date. Level One (1) Non-IVP Fingerprint Clearance card must be received within 30 days after the new employee hire date or transfer date. All employees are strongly recommended to obtain and maintain vaccination status (i.e., as recommended by CDC and/or other public health agencies) to include an Influenza vaccination. Subject to exemptions and accommodations when required by law. (Policy: Adm-016 & Adm-045). All employees are required to undergo drug testing prior to employment and will be subject to post-accident, reasonable suspicion, return to duty and follow up drug and alcohol testing in compliance with Federal and State regulations for alcohol and controlled substance testing. Employees in positions holding responsibility for the safety and welfare of others will also be classified as safety sensitive. El Rio Health is a non-profit 501(c)(3) Federally Qualified Health Center (FQHC) and abides by all applicable federal Drug-Free Workplace standards. El Rio Health is an equal opportunity employer.

Psych

Full-time

5 days ago

Care Manager, Behavioral Health (Remote, NY Based)

Molina Healthcare New York, NY

$26.41 - $61.79 / hour

JOB DESCRIPTION Role provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • May provide consultation, resources and recommendations to peers as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years’ experience in health care, including at least 1 year of experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. • Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. License must be active and unrestricted in state of practice (NY). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Psych

Full-time

5 days ago

NP or PA - Behavioral Health

Mary Washington Healthcare Fredericksburg, VA

Start the day excited to make a difference…end the day knowing you did. Come join our team. Job Summary: The NP or PA provides clinical services for adults and/or children, addressing mental health and intellectual disabilities in an in-patient and/or out-patient setting. The NP or PA is actively involved in providing formal and informal care and education. Participates in the review and development of specific policies, procedures, and practice guidelines. The incumbent in this position must be able to demonstrate effective interpersonal skills and an understanding of the interdependent roles of various allied health professions. The NP or PA will assess physical, psychosocial, cognitive, and functional components, develop a treatment plan, order, and interpret diagnostic components of the plan, and assist in the medication management for the plan. This position will have on-call responsibilities. In addition, medical services may be provided in either an in-person or virtual capacity depending upon the practice needs. The NP or PA functions professionally under a practice agreement with the supervising physician and operationally under the Associate Vice President for Practice Operations and/or the Senior Medical Director of the Medical Group or designee. Essential Functions & Responsibilities: Conducts comprehensive health assessments and psychiatric evaluations for children, adolescents, and/or adults, to provide ongoing medication management to patients in collaboration with the physician. Counsels patients and family members about diagnosis, testing, and risk of procedures in collaboration with the physician. Performs approved diagnostic procedures according to set protocols. Interacts and communicates effectively with colleagues and referring physician. Collaborates with physician to formulate individual plan of care to achieve desired outcome. Coordinates, assesses, interprets, communicates, and documents patient and family needs. Communicates with health care team to coordinate services and contributes to the continuous performance improvement process. Demonstrates the ability to use effective organization and prioritization of problem solving, and decision-making abilities in practice. Demonstrates effective communication, customer service, and team building skills. Provides emergency treatment and initiates emergency life savings measures per BLS guidelines. Collaborates with Senior Leadership on the development of standards of care for patient population. Provides direct patient care. Participates in on-call coverage. Performs other duties as assigned. Qualifications: Registered Nurse licensed to practice in Virginia or eligible. Licensed as a Board-Certified Psychiatric Nurse Practitioner (PMHNP-BC) in the State of Virginia. Master’s degree in nursing, required. A minimum of five (5) years’ experience as RN, preferred. Nurse Practitioner level experience providing psychiatric care to children and adolescents with a mental health diagnosis, preferred. Physician Assistant Virginia License, required Experience in Health Assessments, required. Knowledge of psychiatric/medical medications/treatments, required. AHA BLS Provider CPR, required. CPI required within 90 days of hire. Knowledge of community mental and public health, principles, procedures, techniques, trends, and literature related to mental health and intellectual disabilities. As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.