Care Manager, Telephonic Behavioral Health

Humana

1d • Remote

About The Position

Become a part of our caring community The Care Manager, Telephonic Behavioral Health, assesses and evaluates members' needs in a telephonic environment. The goal is to achieve and maintain wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. You will report to the Manager of Health Services. Additionally, you will be in a field role and will require up to 25% travel visiting members or facilities within the state of South Carolina. The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues. Resolve barriers that hinder care. Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Support the Transition of Care (TOC) program, which focuses on ensuring continuity of care for members as they move between care settings (such as hospital discharge to home or outpatient care). You will be assisting with HEDIS completion follow up visits after TOC and may conduct field visits based on member needs and program requirements. Use your skills to make an impact

Requirements

• Bachelor's degree
• Must live in the state of South Carolina
• 3 or more years of experience working as a licensed Social Worker
• Hold an active and unrestricted license as a Behavioral Health Professional in South Carolina, such as; Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Social Worker (LSW)
• 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.
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• 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 our company's driver safety program and therefore requires an individual to have a valid state driver's license

Nice To Haves

• Master's degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university
• 1 year of managed care experience
• Transition of care (TOC) experience
• CCM certification
• Experience working with the geriatric population
• Knowledge of community health and social service agencies and additional community resources

Responsibilities

• Assess and evaluate members' needs in a telephonic environment.
• Guide members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members.
• Employ a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues.
• Resolve barriers that hinder care.
• Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations.
• Create member care plans.
• Support the Transition of Care (TOC) program
• Assist with HEDIS completion follow up visits after TOC and may conduct field visits based on member needs and program requirements.

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