Behavioral Health Care Manager
About The Position
The Behavioral Health Care Manager (Care Manager, Telephonic Behavior Health 2) in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal wellness state. This role guides members/families toward and facilitates interaction with resources appropriate for their care and well-being. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Behavioral Health Care Manager employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues, identifying and resolving barriers that hinder effective care. They ensure patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations and may create member care plans. This role requires understanding department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Decisions are made regarding own work methods, occasionally in ambiguous situations, requiring minimal direction and receiving guidance where needed, while following established guidelines/procedures.
Requirements
- An active, unrestricted Registered Nurse (RN) license in the state of South Carolina OR an active, unrestricted social work license in South Carolina in one of the following disciplines: Licensed Independent Social Worker – Clinical Practice (LISW-CP), Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC).
- Must reside in the state of South Carolina.
- Three (3) or more years of clinical acute care experience in a behavioral health setting.
- One (1) or more years of care coordination/care management experience.
- Experience with serious mental illness specialty population.
- Comprehensive knowledge of Microsoft Office applications including Excel, and Outlook.
- Must be screened for TB as part of Humana's Tuberculosis (TB) screening program.
- Must have a valid state driver's license and maintain personal vehicle liability 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.
Nice To Haves
- Bachelor’s degree in nursing (BSN).
- Experience with case management, discharge planning and patient education for adult acute care.
- Managed care experience.
- Certified Case Manager (CCM).
Responsibilities
- Assess and evaluate members' needs and requirements to achieve and/or maintain an optimal wellness state.
- Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
- 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 patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations.
- May create member care plans.
- Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
- Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receives guidance where needed.
- Follow established guidelines/procedures.
Benefits
- Medical benefits
- Dental benefits
- 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 disability
- Long-term disability
- Life insurance
- Mileage Reimbursement for Travel
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
