ARTS Care Coach

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

The ARTS Care Coach provides overdose prevention education, supports transitions between care settings, and coordinates post-discharge care for members transitioning from emergency departments or correctional facilities in support of the Virginia Medicaid contract. For pregnant and parenting members, the program includes the development of a Plan of Safe Care, ensuring that both the mother and child receive comprehensive support to address substance use and its associated risks. The ARTS Care Coordinator provides access to a full continuum of evidence-based addiction and recovery treatment services.

Ensure a comprehensive ARTS Care Management model, to improve health outcomes, reducing barriers to treatment, and ensuring that members with SUD receive the necessary care and support to achieve long-term recovery.

• Provide overall care coordination for members with substance use disorders to monitor treatment progress and promote recovery and relapse prevention skills
• Knowledgeable about the telehealth delivery system in Virginia and must refer Members in rural and other hard to access areas to these systems in order to receive an assessment and needed services for treatment and recovery.
• Aid members in transitioning through ASAM levels of care to achieve seamless care.
• Provide SUD education, including naloxone usage and overdose prevention, harm reduction, and general healthcare education to all ARTS members.
• Utilize 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.
• Provide comprehensive, integrated support to members experiencing substance use and possible co-occurring conditions, including children, adolescents, adults, and justice-involved members.
• Provide care coordination activities who are at high-risk of fatal overdoses to ensure access and removing barriers to member obtaining naloxone prescriptions.
• Coordinate behavioral health, substance use, and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
• Improve member’s health literacy about telehealth substance use providers while simultaneously addressing health related social needs to positively impact member’s healthcare outcomes and well-being.
• 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 Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).

Use your skills to make an impact
 

REQUIRED QUALIFICATIONS

• Bachelor’s degree in a health or human services field, QMHP, MSW, BSW, CSAC or CSAC-Assistant.
• Minimum of 2 years of experience working directly with individuals with substance use disorder (SUD).
• Ability to implement structured care management for transitions of care for ASAM levels of care and provide overall care coordination for the VA ARTS benefit.
• Must reside in the commonwealth of Virginia or within 40 miles of bordering states.
• 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.

PREFERRED QUALIFICATIONS

• LMHP, LBSW, LMSW or RN/LPN.
• Case Management Certification (CCM).
• Experience working with Medicare, Medicaid and dual-eligible populations.
• Knowledge of community health and social service agencies and additional community resources including but not limited to social determinants of health and the criminal justice system.
• Experience with health promotion, coaching and wellness.
• Experience working with pregnant and post-partum population with SUD.
• Previous managed care experience.
• Bilingual preferred (Spanish, Arabic, Vietnamese or other).

• Workstyle: This is a remote position
• 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.

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.

 

$53,700 - $72,600 per year

 

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.