Care Manager Telephonic Behavioral Health

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

The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies, approaches, and techniques to manage a member's behavioral, environmental, and psycho-social health issues.

 

·       Identifies and resolves barriers that hinder effective care.

·       Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.

·       May create member care plans.

·       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, and requires minimal direction and receives guidance where needed.

·       Follows established guidelines/procedures.

·       Must be passionate about contributing to an organization focused on continuously improving consumer experiences

·       Some travel to assess members in the community (see additional Information below)

Use your skills to make an impact
 

Required Qualifications

Must meet one (1) of the following requirements:

• Masters Social Work  
• Masters in Social Sciences, Social work, Human Services, or a related field
• Licensed Mental Health Counselor (LMHC)
• Licensed Social Worker (LSW)
• Licensed Marriage and Family Therapist (LMFT)
• Licensed Clinical Social Worker (LCSW)

Must meet ALL of the following requirements:

• 3+ years of Human Services experience including managing mental health crises
• 1 year Case Management
• Experience assisting members with social determinants of health needs (i.e. housing, food, transportation, financial needs)
• Experience and knowledge in behavioral health. Experience in connecting members to BH services and familiarity with BH diagnosis/needs.
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Workstyle: Remote work at home

Location: Florida

Schedule: Monday - Friday; 10:00 AM - 7: 00 PM

Travel: None at this time but may be required as business needs.

Preferred Qualifications

• Medicare/Medicaid Program experience
• Experience with discharge planning, crisis intervention and patient education for adult acute care
• Experience working with Child, Adolescent and Adult
• Experience working with members/patients with medical and mental health co-morbidities
• Managed care experience
• Certified Case Manager (CCM)
• Bilingual in English and Spanish or Creole

Additional Requirements / Adherence

Travel (see additional information)

• Ability to travel for onsite visits within 30 to 40 miles. (See Additional Information below)
• 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

Screening Requirements:

• Associate working in the State of Florida will need Completion of a Level II; AHCA background clearance Fingerprinting.
• 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.

SSN Alert

- Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Modern Hire Alert

- 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.

WAH Internet Requirements

- 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. Employees 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 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.

Benefits Alert

- Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities

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.

 

$59,300 - $80,900 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 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.