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Humana

Sells Medicare health plans and runs senior clinics

Field Care Management Behavioral Health

Mental & Behavioral HealthConfirmed live in the last 24 hours
Full-timeLouisiana, USA

About the Job

Requirements

  • Must reside in Louisiana Region 7, comprising Bienville, Bossier, Caddo, Claiborne, DeSoto, Natchitoches, Red River, Sabine, and Webster parishes.
  • Must hold an LCSW, LPC, LAC, LMFT, or RN credential and have at least 2 years of experience in psychiatry.
  • Must be screened for tuberculosis if selected for the patient-facing role.
  • Must meet the home internet requirements of at least 25 Mbps download and 10 Mbps upload, and work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
  • Current or former Louisiana Health Department agency heads or elected officials, board or commission members, or public employees who worked directly with LDH’s Medicaid Division are ineligible unless separated from LDH for at least two years.

Responsibilities

  • Perform telephonic and face-to-face assessments and evaluations of members’ needs and requirements, guiding members and families toward appropriate resources for their care and wellbeing.
  • Continuously monitor care through assessments and evaluations to ensure members are progressing toward desired outcomes.
  • Create member care plans and understand department, segment, and organizational strategy and operating objectives, including their links to related areas.
  • Collaborate with providers and community services to promote quality and cost-effective outcomes.
  • Ensure delivery of needed behavioral health, physical health, social determinant of health, and value-added services and supports.
  • Coordinate across the transdisciplinary care team, including at a minimum the primary care provider, and coordinate transitions of care.
  • Submit incident reports.

Desired Qualifications

  • Bilingual ability is a plus.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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