Behavioral Health Care Manager

Humana • Lowell, MA

2d • Remote

About The Position

Become a part of our caring community and help us put health first The Behavioral Health Care Manager, 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 well being of members. The Behavioral Health Care Manager’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Behavioral Health Care Manager Supports Humana member’s access to behavioral health services, including a focus on the increased need in behavioral health services Provide member outreach and education related to behavioral health including assessing risk, determining appropriate care in individual patient communities, and collaborating with providers as well as clinicians across other Humana departments Employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues Identifies and resolves barriers that hinder effective care Ensures member is progressing towards desired outcomes by continuously monitoring member 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 Schedule will require an 8 hour shift between 8:00 AM and 6:00 PM in your local time zone. Occasional overtime may be requested as business needs. Use your skills to make an impact

Requirements

• Current valid social service license, e.g. MSW, LCSW, LPC, LMHC
• Master's degree in a behavioral-health field, such as social work, counseling, or related health discipline from an accredited university
• 2+ years in an integrated care setting managing members with both Behavioral Health needs and/or Substance Use such as crisis experience (includes ER), community mental health center, behavioral health inpatient, assertive community treatment, etc
• Experience with behavioral change, health promotion, coaching and/or wellness
• Proficiency utilizing software programs, (e.g., Word, Excel & PowerPoint & shared systems) troubleshoot and resolve general technical issues

Nice To Haves

• Bilingual (English/Spanish), with ability to pass a Language Proficiency Assessment
• Experience supporting patients telephonically
• Experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team, and substance use disorder treatment
• Experience working with both children and adults

Responsibilities

• Assess and evaluate members' needs and requirements
• Guide members/families toward resources
• Facilitate interaction with resources
• Support Humana member’s access to behavioral health services
• Provide member outreach and education related to behavioral health
• Assess risk
• Determine appropriate care in individual patient communities
• Collaborate with providers as well as clinicians across other Humana departments
• Employ a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues
• Identify and resolve barriers that hinder effective care
• Ensure member is progressing towards desired outcomes by continuously monitoring member care through assessments and/or evaluations
• Create member care plans

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees