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

POSITION RESPONSIBILITIES:

• Utilizes high-quality, evidence-based substance use services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical, behavioral health, and ARTS providers.
• Provides comprehensive, integrated support to members experiencing substance use and possible co-occurring conditions, including children, adolescents, adults, 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.
• Completes all required assessments, including the Comprehensive Risk Assessment (CHRA).
• Coordinates behavioral health, substance use, and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
• Improves member's health literacy while simultaneously addressing health related social needs to positively impact member's healthcare outcomes and well-being.
• Serves as the quarterback of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
• Facilitates ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
• Engages 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 Medic

Use your skills to make an impact

REQUIRED QUALIFICATIONS

• Active LMHP License in the state of Virginia
• Minimum of 1 year of experience working directly with individuals with substance use disorder (SUD).
• Case management experience providing care transitions for ASAM levels of care and overall structured care management for members receiving VA Addiction and recovery services.
• Must reside in Virginia; This role will be regionally based in one of the Commonwealth's six regions:
  Central orCharlottesville
• 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.
• Valid driver's license, car insurance, and reliable transportation.

PREFERRED QUALIFICATIONS:

• Case Management Certification (CCM).
• Experience working with Medicare, Medicaid and dual-eligible populations.
• Field Case Management Experience.
• Experience working with pregnant and post-partum population with SUD, including Substance Exposed Infants.
• Knowledge of community health and social service agencies and additional community resources.
• Knowledge of ASAM levels of care.
• Managed Care Experience.
• Bilingual preferred (Spanish, Arabic, Vietnamese or other).

• Workstyle:
  This is a remote position that will require you to travel.
• 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).
• 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.

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.

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Scheduled Weekly Hours

Pay Range

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