Remotery

Field Care Manager, Behavioral Health

atHumanaRemoteUS flagIllinoisFull-timeManagerJuniorMid-level$71.5k – $97.5k/year

Posted 2 days ago

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Conduct primarily in-person and telephonic behavioral health evaluations with members.

• Act as the main point of contact, delivering integrated, timely, and high-quality care coordination.

• Oversee member health issues and identify as well as resolve obstacles to effective care.

• Offer personalized care coordination, crisis intervention, peer support, and collaboration with medical and behavioral health professionals.

• Assist members with Serious Mental Illness (SMI), Serious Emotional Disturbance (SED), Substance Use Disorder (SUD), and those involved with the justice system across children, adolescents, and adults.

• Engage members within their communities and perform face-to-face visits.

• Complete necessary assessments, including the Comprehensive Risk Assessment (HRA).

• Coordinate behavioral health and medical services, provider engagement, and adherence to treatment plans.

• Enhance member health literacy and address health-related social needs.

• Function as a member's interdisciplinary care team, managing care planning, transitions, and service delivery.

• Facilitate interdisciplinary care team meetings and communication among providers, Service Coordinators, and Care Management Extenders.

• Support transitions of care.

• Conduct biannual and quarterly in-person visits for monitoring and intervention.

• Collaborate with internal departments, providers, and community-based organizations.

• Adhere to processes and procedures to meet IDHS, CMS, and NCQA requirements.

• Perform other assigned duties.


⛳️ Requirements

• Must live in Cook, DuPage, DeKalb, or Kane County, Illinois.

• Active Illinois license as an LCSW, LMFT, or LCPC; no supervisees or provisional licenses permitted.

• A minimum of 2 years of post-degree clinical experience in a behavioral health environment.

• Experience in case management with complex SMI, SUD, and SED populations.

• Ability to travel to regional facilities and homes for in-person assessments.

• Valid driver's license, car insurance, and dependable transportation required.

• Capability to work independently while seeking support when necessary.

• Must comply with IDHS, CMS, and NCQA regulatory standards.

• Up to 75% travel required for collaboration, in-person meetings, and field interactions.

• Work schedule is Monday–Friday, 8:00 a.m.–5:00 p.m. Central Standard Time.

• TB screening must be completed if selected.

• Must maintain personal vehicle liability insurance that meets state minimums or specified higher limits.

• Home internet connection with a minimum of 25 Mbps download and 10 Mbps upload speed is necessary.

• A dedicated workspace free from ongoing interruptions to safeguard PHI/HIPAA information is required.

• Preferred: CCM certification.

• Preferred: 3+ years of in-home assessment and care coordination experience.

• Preferred: experience with Medicare, Medicaid, and dual-eligible populations.

• Preferred: field case management experience.

• Preferred: knowledge of community health and social service agencies and resources.

• Preferred: previous experience in managed care.

• Preferred: bilingual proficiency.


🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• TB screening program.

• Self-provided internet service requirements and dedicated workspace support for remote work.

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