Pomelo Care logo
Pomelo Care

Pomelo Care is a healthcare organization that exists to help families have healthy babies. Specifically, the company provides 24/7 pregnancy and newborn care by text, phone, and vi

Menopause Provider (CNM or WHNP) - All Compact States

Location

United States

Posted

88 days ago

Salary

$110K - $145K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Menopause Provider (CNM or WHNP) - All Compact States

Pomelo Care

About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system. Role Description Your North Star: Deliver direct patient care and clinical oversight that optimizes outcomes for individuals navigating perimenopause and menopause, through population-based implementation of evidence-based care. In this role you will: - Be accountable for improving clinical outcomes for empaneled patients, by overseeing their medical care - Review complex patient cases, develop care plans, and support other members of the clinical team in providing them with evidence-based care - Monitor adverse events and hold clinical retros to identify any areas for improvement in Pomelo’s protocols - Lead development and review of evidence-based medical protocols and algorithms related to menopause care - Participate in continuous quality improvement efforts to improve our ability to provide the highest quality care to patients Requirements - Must be licensed to practice as an APP in a compact nursing state - A minimum of 3 years of menopause experience, including prescribing and managing hormone therapy (HT) - Committed to studying & sitting for the Menopause Society Certified Practitioner (MSCP) exam - Passionate about comprehensive women’s health, including perimenopause and menopause, with a strong desire to support patients through all stages of midlife care - Experience using data to drive patient engagement, activation, and clinical outcomes - Experience working with an interdisciplinary successful teams, with track record of outstanding collaboration and teamwork - A sense of urgency to improve outcomes coupled with exceptional organization and attention to detail - A growth mindset with the ability to approach process change and ambiguous situations with enthusiasm, creativity, and accountability - Facility using multiple tech platforms, with an eagerness for advising about platform improvements and adapting to new systems - Eager to thrive in a fast-paced, metric-driven environment - Phenomenal interpersonal and communication skills Education and training - CNM or WHNP with significant experience in menopause care - Active APP license and willingness to obtain licenses in all US states - Residence in MA or a nursing compact state Bonus points for - Menopause Society Certified Practitioner (MSCP) - Telehealth and/or remote monitoring experience Schedule Options - Day Shift - Monday - Friday, 9:00am - 6:00pm ET - Evening Shift - Monday - Friday, 1:00pm - 9:00pm ET Why you should join our team By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer: - Competitive healthcare benefits - Generous equity compensation - Generous PTO policy At Pomelo, we are committed to hiring the best team to improve outcomes for all patients, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Our salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $110,000-$145,000 ($52-$70 per hour). We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash. #LI-Remote Potential Fraud Warning Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information. Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com. If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at careers@pomelocare.com to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.

Job Requirements

  • Must be licensed to practice as an APP in a compact nursing state.
  • A minimum of 3 years of menopause experience, including prescribing and managing hormone therapy (HT).
  • Committed to studying & sitting for the Menopause Society Certified Practitioner (MSCP) exam.
  • Passionate about comprehensive women’s health, including perimenopause and menopause, with a strong desire to support patients through all stages of midlife care.
  • Experience using data to drive patient engagement, activation, and clinical outcomes.
  • Experience working with interdisciplinary successful teams, with a track record of outstanding collaboration and teamwork.
  • A sense of urgency to improve outcomes coupled with exceptional organization and attention to detail.
  • A growth mindset with the ability to approach process change and ambiguous situations with enthusiasm, creativity, and accountability.
  • Facility using multiple tech platforms, with an eagerness for advising about platform improvements and adapting to new systems.
  • Eager to thrive in a fast-paced, metric-driven environment.
  • Phenomenal interpersonal and communication skills.
  • CNM or WHNP with significant experience in menopause care.
  • Active APP license and willingness to obtain licenses in all US states.
  • Residence in MA or a nursing compact state.

Benefits

  • Competitive healthcare benefits.
  • Generous equity compensation.
  • Generous PTO policy.

Related Categories

Related Job Pages

More Medical Director Jobs

Omega logo

Coder Physician

Omega

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners Serves more than 350 healthcare organizations Employs 35,000 skilled workers in the United States, India, Colombia, and the Philippines

Medical Director88 days ago
Full TimeRemoteTeam 10,001

JOB DESCRIPTION Job Title Coder Physician FLSA Non-Exempt Reports to Coding Manager Grade F Location Remote Band 1B Summary/Objective Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions - Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. - Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. - Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. - Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. - Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. - Extracts pertinent data from the patient’s health record and determines appropriate coding for reports and billing documents. - Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. - Track and document productivity in specified systems, maintain productivity levels as defined by the client. - Maintain 95% quality rating - Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. Key Success Indicators/Attributes - Ability to prioritize and multi-task in a fast-paced, changing environment. - Demonstrate ability to work in all work types and specialties. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate leadership, mentoring, and interpersonal skills. - Demonstrate excellent presentation, verbal, and written communication skills. - Ability to develop and maintain relationships with key business partners by building personal credibility and trust. - Maintain courteous and professional working relationships with employees at all levels of the organization. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Skill in operating a personal computer and utilizing a variety of software applications. - Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes. - Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation. Supervisory Responsibility No Work Environment This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work. Travel Minimal travel required; up to 5% Required Education and Experience Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee. Preferred Education and Experience N/A Additional Eligibility Qualifications Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P. Security Access Requirements In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Field Employee” profile. Microsoft Office ADP Oracle Reviewmate E1- All Field Employees Standard Employee Standard Coder and Client Access based on client needs. Determined by manager and granted by Audit Implementation Manager Equal Employment Opportunity: Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned. Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com AAP/EEO Statement Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.

United States
Job Closed
Full TimeRemoteTeam 201-500

Medical Director (Child and Adolescent Psychiatrist - Remote) We are searching for a strategic and visionary Medical Director to own and evolve our psychiatry service line. Reporting directly to the Chief Medical Officer (CMO), you will lead the functional area of psychiatric care, ensuring clinical excellence across multiple departments. You will be responsible for developing the strategic roadmap for our prescribing team, managing subordinate leadership, and harmonizing clinical quality with scalable business operations. Responsibilities: Strategic Leadership & Governance - Lead the psychiatry service line and connected departments through subordinate managers/leads (e.g., Lead NPs, Regional Psychiatrists). - Contribute to the development of Brightline’s overarching clinical strategic plans, organizational policies, and operational effectiveness. - Discuss matters of significant impact regarding clinical safety, market expansion, and service delivery with the Executive Leadership Team (ELT) and external stakeholders. - Manage the psychiatry function budget, ensuring resource allocation aligns with business segment strategies and growth targets. Clinical Quality & Risk Management - Develop corporate-wide methods, techniques, and evaluation criteria for psychiatric care to ensure alignment with evidence-based practices. - Resolve highly complex clinical and operational issues where standard field-specific principles may not fully apply, particularly at the intersection of telehealth and emerging regulations. - Make critical decisions regarding clinical safety protocols and "Collaborative Practice Agreements" where the outcomes have a long-term impact on the success of the organization. - Direct the development of new methods for chart reviews, quality assurance, and risk mitigation across multi-state jurisdictions. Innovation & Product Integration - Drive results by harmonizing views across Engineering, Product, and Care Ops to build state-of-the-art, technology-driven care models. - Lead the clinical strategy for AI tooling and scalable telehealth innovations, balancing aggressive growth with rigorous patient safety. - Oversee the cross-licensing strategy to ensure the prescribing team can meet the demands of a rapidly growing, multi-state member base. Requirements: - Board-certified Child and Adolescent Psychiatrist with proven expertise in conducting comprehensive evaluations, diagnoses, and treatments for a diverse range of pediatric mental health concerns. - Proven experience leading pediatric mental health clinical services, with a track record of guiding and inspiring teams through mentorship and fostering a growth-oriented mindset. - Experience working collaboratively with cross-functional teams (Product, Engineering, and Clinical Operations) to establish technology-driven, state-of-the-art care delivery models. - Strong clinical expertise in a multidisciplinary setting, with the ability to incorporate a pathway-driven approach to delivering high-quality, evidence-based care. - A commitment to spearheading and fostering innovation, with a dedication to bridging practice gaps by exploring new methodologies and continually seeking improved care models. - Strategic clinical thinker with the proficiency to balance the "risk for change" required for innovation with the absolute necessity for patient safety and legal compliance. - Exceptional communication and relationship-building skills; able to foster clear and concise communication in a remote setting to keep team members informed and aligned. - Technically literate and adaptable, with an innate comfort using various technologies and the ability to quickly pivot to new platforms or software to optimize workflow. - Comfort and interest in AI tooling, including a desire to participate in the development of AI-driven clinical enhancements. - Passionate about cultivating inclusive cultures, emphasizing clinical excellence and establishing a safety-oriented, blame-free environment. - Multi-state licensed or the ability and willingness to be cross-licensed for NP care collaboration as required by the organization's growth. Nice to have: - Willingness to travel periodically (e.g., a few times per quarter) to support leadership alignment, team engagement, and key organizational initiatives. - Preference for New York licensure; however, candidates with licensure in other states and openness to cross-licensure are strongly considered. We offer several benefits, perks, and stipends: - Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k - 12 Company Holidays + Floating Holidays, Holiday Shutdown, Time Off, Parental Leave - Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement - Stock Options At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range is $250,00-$280,000. Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to: - building a future where all families can access inclusive, high-quality care - creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive - systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems - ensuring that every employee, candidate, client, and family we serve is valued and respected About Brightline Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results. We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.

United States
$250K - $280K / year
Allara Health logo

1099 Telehealth Registered Dietitian | Flexible Schedule

Allara Health

Allara Health describes itself as an all-in-one virtual care team for metabolic, hormonal, and gynecological conditions. The company is on a mission to improve

Medical Director88 days ago

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We’re seeking Registered Dietitians to provide comprehensive, empathetic, and collaborative care to women with complex conditions such as PCOS, endometriosis, perimenopause, and menopause, thyroid disease, metabolic syndrome, hormonal imbalances, and more. Location: Fully remote within the U.S. Your Impact - Analyze intake assessments, including medical history, dietary habits, laboratory results, and more. - Conduct diet and lifestyle counseling and education sessions via video, including offering general movement, sleep, or stress management advice as needed and related to nutrition care. - Employ Allara’s provided nutrition training and educational materials to ensure consistent care while adapting to patient needs. - Incorporate motivational interviewing and behavior change techniques throughout the continuity of care. - Collaborate with APRNs and MDs involved in the medical management of your patients. - Maintain accurate and up-to-date patient records. - Dedicate a minimum of 10 patient-facing hours per week in addition to administrative time. - Responsibilities also include charting, addressing patient inquiries, and responding to administrative tasks and messages in a timely manner. Required Qualifications - Required Certification: Registered Dietitian with current certification from the Commission on Dietetic Registration (CDR). - Required Experience: 1-year experience treating patients with complex women’s health conditions (strongly desired). - Independence: Ability to operate effectively as an independent provider. - Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion. - Webside Manner: Strong ability to connect with patients virtually and provide empathetic care. - Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research. - Technical Proficiency: Skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms. - Telemedicine: Experience is a plus! - Location: Must reside in the United States State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered state license to practice as a Registered Dietitian in at least one U.S. state is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers - 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role. - Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks. - Fully Remote Role: Work from anywhere in the US. - Flexible Schedules: Set the hours that best fit your lifestyle and availability. - Malpractice Insurance: Comprehensive coverage provided. - Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day. - Collaborative Community: Engage with and learn from a network of dedicated Allara providers. Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion. At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

United States
Humana logo

Field Care Manager, Behavioral Health

Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off

Medical Director88 days ago

Become a part of our caring community and help us put health first Humana is looking for a Field Care Manager, Behavioral Health to join the IL Medicaid team. In this position, you will report to the Manager, Care Management and connect with members both face-to-face and telephonically. The Field 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 needs. You will employ a variety of strategies, approaches, and techniques to manage a member's health issues and resolve barriers that hinder effective care. Using a holistic, person-centered approach, you will enhance behavioral health outcomes, reduce care gaps and support Illinois' FIDE population through comprehensive, integrated behavioral health care management. 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 assigned Use your skills to make an impact Required Qualifications - This role is regionally based in Joliet, IL. Must reside within 40 miles of Joliet, IL. - 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 populations - Field Case Management Experience - Knowledge of community health and social service agencies and additional community resources - Previous managed care experience - Bilingual Additional 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 40 Pay 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. $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. 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. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ 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.

United States
$65K - $88.6K / year
Job Closed