• The Behavioral Health Care Manager (Field Care Manager, Behavioral Health 2) performs primarily face to face and telephonic assessments with members

The BH Care Manager serves as the primary point of contact providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs

• This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care
• Utilize high-quality, evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical and behavioral health providers
• Provide comprehensive, integrated support to members experiencing behavioral health conditions, including children, adolescents, adults with serious mental illness (SMI) and serious emotional disturbance (SED), 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
• Complete all required assessments, including the Comprehensive Risk Assessment (CHRA)
• Coordinates behavioral health and medical services, ensuring appropriate provider engagement and adherence to treatment plans
• Improve member’s health literacy while simultaneously addressing health related social needs to positively impact member’s healthcare outcomes and well-being
• Serving as the quarterback of the member’s interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery
• Facilitating ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders
• Engaging 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 Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA)

• 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 (EST)

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

• Bachelor’s degree in social work, psychology or other health or human services related field
• Virginia licensed LMHP, LPC or LCSW
• Minimum of 2 years of post-degree clinical experience in behavioral health setting
• Case management experience working with complex SMI or SED population
• Must reside in Northern and Charlottesville regions of Virginia
• 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
• Ability to work a full-time schedule
• Valid driver's license, car insurance, and reliable transportation
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency
• Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government
• 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 suggested

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

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