EARN A $3,000 HIRING BONUS! $1,500 is paid after 6 months (180 days) of employment and $1,500 is paid after 1 year (365 days) of employment. You must be employed until those dates to be eligible to receive the payment.
Position Responsibilities:
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), Substance Use Disorders (SUD) and justice-involved members.Engage members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination.Coordinate 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.Serve as the driver of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.Facilitate ICT meetings, ensuring communication among providers, Service Coordinators, and Care Management Extenders.Proactively support transition of care efforts.Will work with autonomy but reach out when support is needed.Collaborate 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.Follow processes and procedures to ensure compliance with regulatory requirements by the Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).Other job responsibilities as assignedRequired Qualifications
This role is regionally based in Joliet, IL. Must reside in Joliet or a surrounding city ( New Lenox, Lockport, Crest Hill, Shorewood, Frankfort, Preston Heights, Rockdale, Fairmont, Ingalls Park) Active Illinois licensed LCSW, LMFT or LCPC (No supervisees or provisional licenses)2+ years of post-degree clinical experience in behavioral health setting.Case management experience working with complex SMI, SUD, SED population.Ability to travel to region-based facilities and homes for face-to-face assessments.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.Valid driver's license, car insurance, and reliable transportation.Preferred Qualifications
Case Management Certification (CCM)3+ years of in-home assessment or care coordination experience.Experience working with Medicare, Medicaid and dual-eligible populationsField Case Management ExperienceKnowledge of community health and social service agencies and additional community resourcesPrevious managed care experienceBilingualAdditional Information
Workstyle: This is a remote position that will require you to travel.Travel: Up to 75% of the time for collaboration and face-to-face meetings and field interactions with staff, providers, members, and their families.Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST).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.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.WAH Internet Statement
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.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.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
40Pay 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.
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.
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.
Read LessThe Field Care Manager Registered Nurse key roles and responsibilities may include the following:
Identifies and resolves barriers that hinder effective care.Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.Create plans of care.Communicates with internal and external stakeholders.Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.Makes decisions regarding own work methods (occasionally in ambiguous situations), requires minimal direction, and receives guidance where needed.Follows established guidelines/procedures.Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings - 75-90% local travel (see Additional Information section).knowledge in area.
Required Qualifications
Applicants must reside in Ogle, Lee, Jo Daviess, Boone, Stephenson, Carroll, or Winnebago County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60113, 60530, 60553, 61001, 61006, 61007, 61008, 61010, 61011, 61012, 61013, 61014, 61015, 61016, 61018, 61019, 61020, 61021, 61024, 61025, 61027, 61028, 61030, 61031, 61032, 61036, 61038, 61039, 61041, 61042, 61043, 61044, 61046, 61047, 61048, 61049, 61050, 61051, 61052, 61053, 61054, 61057, 61058, 61059, 61060, 61061, 61062, 61063, 61064, 61065, 61067, 61068, 61070, 61072, 61073, 61074, 61075, 61077, 61078, 61079, 61080, 61084, 61085, 61087, 61088, 61089, 61091, 61101, 61102, 61103, 61104, 61105, 61106, 61107, 61108, 61109, 61110, 61111, 61112, 61114, 61115, 61125, 61126, 61130, 61131, 61132, 61285, 61310, 61318, 61324, 61331, 61353, 61367, 61378 Registered Nurse (RN) in the state of Illinois without disciplinary action.Clinical nursing experience required (hospital, acute care, or home healthAbility to travel 75-90% within the state of IllinoisKnowledge of community health and social service agencies and additional community resources.Exceptional 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.Humana's Tuberculosis (TB) screening Program This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.Humana's Driver Safety Program This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.Preferred Qualifications
Bachelor of Science in Nursing (BSN). 2+ years of experience of in-home case/care managementExperience with Medicare/Medicaid members.Experience with health promotion, coaching, and wellness. Previous managed care experience. Bilingual - English, Spanish.Certification in Case Management. Motivational Interviewing Certification and/or knowledge in area.Additional Information
Workstyle/Travel: This is a Hybrid - Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well 75-90% travel in the field to visit membersWork Schedule: Monday - Friday; 8am - 5pm CSTWork at Home Requirements
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Associates 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 associates 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.Interview Format
As part of our hiring process, we will be using interviewing technology provided by HireVue, 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 or computer 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.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.
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.
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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